Holly Whall, M.S.W., M.P.H., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW86945 Issued in CA

Practice address

6613B Bay Laurel PL
Avila Beach, CA 93424-3504

Phone

(561) 598-9118

NPI assigned

Sep 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Equine Awakenings, Inc.

  • Clinical Social Worker
  • Avila Beach, CA
  • NPI 1619285046
  NPD Authorized official

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1992013312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 5TH ST",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934021611",
            "telephone_number": "561-598-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6613B BAY LAUREL PL",
            "city": "AVILA BEACH",
            "state": "CA",
            "postal_code": "934243504",
            "telephone_number": "561-598-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALL",
        "first_name": "HOLLY",
        "name_prefix": "Ms.",
        "credential": "M.S.W., M.P.H., LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9645",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW86945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erich Rueschenberg, PH.D.
• Nancy G. Rueschenberg, PH.D.
• Sedghi Momentum Health Chiropractic
• Shirley L. Stack, PH.D.
• Timothy H. Jones, M.D., Inc.
• Yelena Lapidus MD Inc

• Clinical Social Worker in Avila Beach, CA
• Providers in Avila Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.