Active NPI
Lauren Holly, MSW
- Clinical Social Worker
- Cranston, RI
National Provider Identifier
1992484703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1540 Pontiac Ave
Cranston, RI 02920-4472 - Phone
- (401) 781-7000
- NPI assigned
- Jul 18, 2023
- Sex
- Female
- Sole proprietor
- No
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.
-
- Family Medicine Physician
- Cranston, RI
- NPI 1386374015
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justice Assistance | Current | Accepting new patients |
Locations
1540 Pontiac Ave
Cranston, RI 02920
Phone (401) 781-0537
Interoperability endpoints
- justiceassistance.laurenholly@158806.advancedmd-direct.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1540 Pontiac Ave
Cranston, RI 02920-4472
Mailing address
12 Henry St
Westerly, RI 02891-1636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2023.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1992484703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 HENRY ST",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028911636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 PONTIAC AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029204472",
"telephone_number": "401-781-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLY",
"first_name": "LAUREN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.