Active NPI
Glenda Marie Holliday-Woods
- Social Worker
- Livonia, MI
National Provider Identifier
1992332258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801035722
- Practice address
- 34589 Summers St
Livonia, MI 48154-5327 - Phone
- (313) 231-0008
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801035722 | MI | Primary |
Addresses
Primary practice location
34589 Summers St
Livonia, MI 48154-5327
Mailing address
34589 Summers St
Livonia, MI 48154-5327
Phone (313) 231-0008
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801035722 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1992332258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34589 SUMMERS ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545327",
"telephone_number": "313-231-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34589 SUMMERS ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545327",
"telephone_number": "313-231-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIDAY-WOODS",
"first_name": "GLENDA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801035722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.