Individual provider Active NPI

Daniel Lee Holler, LCSW-C

  • Clinical Social Worker
  • New Windsor, MD
National Provider Identifier
1972652923
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09573 Issued in MD
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

Updated by the provider on Jun 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5867595OtherMDAETNA PROVIDER
527BCEOtherMDCARE FIRST MD PROVIDER
R6290013OtherDCCAREFIRST
68541203OtherMDCAREFIRST
68541204OtherMDCAREFIRST
100024852OtherMDAPS
K2800001OtherMDBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090521000359 MD Practitioner - Clinical Social Worker 5799834768 Reassigns benefits to 2 organizations

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
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

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

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 3, 2023 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jan 1, 2026 Accepting new patients
Centrepointe Counseling, Inc. PastSince Jan 1, 2015 Accepting new patients
Centrepointe Counseling, Inc. PastSince Jan 1, 2015 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.

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

Verify at the official NPI Registry.