Individual provider Active NPI

Winona Holloway, LCSW

  • Clinical Social Worker
  • Yerington, NV
National Provider Identifier
1982765103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4635-C Issued in NV
Practice address
215 W Bridge St
Ste 5
Yerington, NV 89447-2505
Phone
(775) 463-3191
Fax
(775) 463-4641
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 4635-C NV Primary

Addresses

Primary practice location

215 W Bridge St
Ste 5
Yerington, NV 89447-2505

Mailing address

4126 Technology Way
Carson City, NV 89706-2009
Phone (775) 687-7573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20070914000336 NV Practitioner - Clinical Social Worker 7214021740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Lyon Health Center IncGroup PAC ID 0648178533, shared by 6 NPIs, 20 clinicians

Practice addresses (Care Compare)

213 S Whitacre St
Yerington, NV 89447-2561
Phone (775) 463-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4635-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Lyon Health Center, Inc. Current Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients

Locations

213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982765103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 TECHNOLOGY WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062009",
            "telephone_number": "775-687-7573",
            "fax_number": "775-687-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BRIDGE ST",
            "address_2": "STE 5",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472505",
            "telephone_number": "775-463-3191",
            "fax_number": "775-463-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "WINONA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "4635-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yerington, NV

Sources for this page

Verify at the official NPI Registry.