Active NPI
Daniel Lee Holler, LCSW-C
- Clinical Social Worker
- New Windsor, MD
National Provider Identifier
1972652923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09573
- Practice address
- 15601 Wildrose CT
New Windsor, MD 21776-7601 - Phone
- (410) 259-1013
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09573 | MD | Primary |
Addresses
Primary practice location
15601 Wildrose CT
New Windsor, MD 21776-7601
Mailing address
15601 Wildrose CT
New Windsor, MD 21776-7601
Phone (410) 259-1013
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5867595 | Other | MD | AETNA PROVIDER |
| 527BCE | Other | MD | CARE FIRST MD PROVIDER |
| R6290013 | Other | DC | CAREFIRST |
| 68541203 | Other | MD | CAREFIRST |
| 68541204 | Other | MD | CAREFIRST |
| 100024852 | Other | MD | APS |
| K2800001 | Other | MD | BLUE CHOICE PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1910 Towne Centre Blvd
Suite 250
Annapolis, MD 21401-3599
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Centrepointe Counseling, Inc. | Past | Accepting new patients | |
| Centrepointe Counseling, Inc. | Past | Accepting new patients |
Locations
1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pastoral Counselor
- Westminster, MD
- NPI 1689055998
-
- Pastoral Counselor
- Frederick, MD
- NPI 1942681267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1972652923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15601 WILDROSE CT",
"city": "NEW WINDSOR",
"state": "MD",
"postal_code": "217767601",
"telephone_number": "410-259-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15601 WILDROSE CT",
"city": "NEW WINDSOR",
"state": "MD",
"postal_code": "217767601",
"telephone_number": "410-259-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLER",
"first_name": "DANIEL",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "09573",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER",
"identifier": "5867595",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST MD PROVIDER",
"identifier": "527BCE",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "R6290013",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "68541203",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "68541204",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS",
"identifier": "100024852",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE PROVIDER",
"identifier": "K2800001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Windsor, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.