Active NPI
Vincent Hollister, MSW
- Clinical Social Worker
- Windsor, CT
National Provider Identifier
1992121644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8818
- Practice address
- 41 Mechanic St
Windsor, CT 06095-2545 - Phone
- (860) 493-3068
- Fax
- (860) 493-3068
- NPI assigned
- Mar 5, 2014
- 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 | 8818 | CT | Primary |
Addresses
Primary practice location
41 Mechanic St
Windsor, CT 06095-2545
Mailing address
99 Highland View Dr
Somers, CT 06071-1557
Phone (860) 749-7795
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1992121644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 HIGHLAND VIEW DR",
"city": "SOMERS",
"state": "CT",
"postal_code": "060711557",
"telephone_number": "860-749-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MECHANIC ST",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952545",
"telephone_number": "860-493-3068",
"fax_number": "860-493-3068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLISTER",
"first_name": "VINCENT",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-05",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "8818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.