Individual provider Active NPI

Deborah Jones Holt, PHD, LMSW

  • Clinical Social Worker
  • Ridgeland, MS
National Provider Identifier
1982740700
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
M2598 Issued in MS
Practice address
410 Orchard Park
Ridgeland, MS 39157-5135
Phone
(601) 957-0727
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 M2598 MS Primary

Addresses

Primary practice location

410 Orchard Park
Ridgeland, MS 39157-5135

Mailing address

1070 Buckley Dr
Jackson, MS 39206-6110
Phone (601) 713-2194

Other identifiers 1

IdentifierTypeStateIssuer
1356549083OtherMSNPI ON SITE THERAPY ASSOC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
M2598MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Therapy Associates Clinical PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982740700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 BUCKLEY DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392066110",
            "telephone_number": "601-713-2194",
            "fax_number": "601-366-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ORCHARD PARK",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575135",
            "telephone_number": "601-957-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "DEBORAH",
        "middle_name": "JONES",
        "credential": "PHD, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "M2598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ON SITE THERAPY ASSOC",
            "identifier": "1356549083",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.