KENNETH JAMES HOLT (NPI# 1174974117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174974117 |
| Entity Type | Individual |
| Full Name | KENNETH JAMES HOLT |
| Credential | LISW |
| Practice Address |
4269 Pearl Road Cleveland OH 44109-3934 |
| Mailing Address |
4269 Pearl Road #200 Cleveland OH 44109-3934 |
| Practice Telephone | 2164314131 |
| Practice Fax Number | 2164314151 |
| Mailing Telephone | 2164314131 |
| Mailing Fax Number | 2164314151 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2018-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | S.1600314 | OH | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1801239 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275783417 | Kenneth G Holt | Chiropractor | 3593 Arlington Ave Ste B, Riverside, CA 92506 | 2008-09-24 |
| 1932198108 | Kenneth Murray Holt | Internal Medicine | 23451 Madison St Ste 290, Torrance, CA 90505-4737 | 2005-10-19 |
| 1942820774 | Kenneth Taylor Holt | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-22 |
| 1356304588 | Kenneth A Holt | Internal Medicine | 3320 Executive Dr, Ste 222, Raleigh, NC 27609-7445 | 2006-04-10 |
| Street Address |
4269 PEARL ROAD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760762405 | Kimberly Ann Sanders | Nurse Practitioner | 4269 Pearl Road, Cleveland, OH 44109 | 2011-08-25 |
| 1538670682 | Megan Schafaer | Case Manager/Care Coordinator | 4269 Pearl Road, Cleveland, OH 44109 | 2017-10-17 |
| 1922418748 | Recovery Resources | Community/Behavioral Health | 4269 Pearl Road, Cleveland, OH 44109-4259 | 2014-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953509 | Carly Scigliano | Social Worker | 10701 East Blvd Fl 6, Cleveland, OH 44106-1782 | 2020-08-19 |
| 1154957231 | Taylor Kaylene Buss | Social Worker | 12012 Wade Park Ave, Cleveland, OH 44106-4437 | 2020-03-20 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1942848866 | Taylor-marie Smith | Social Worker | 2037 W 32nd St, Cleveland, OH 44113-4017 | 2019-12-11 |
| 1487204848 | Moshe Steinmetz | Social Worker | 3620 Bendemeer Rd, Cleveland, OH 44118-1917 | 2019-09-18 |
| 1235792706 | Pathway To Purpose Early Learning Center LLC | Social Worker | 1536 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2019-04-19 |
| 1992285209 | Kayla Whiteside | Social Worker | 311 East 45th Place, Suite 212, Cleveland, OH 44127 | 2018-08-16 |
| 1265944169 | Elizabeth Grace Chupa | Social Worker | 4785 Memphis Ave, Cleveland, OH 44144-1916 | 2017-11-01 |
| 1144742677 | Bruce Steven Jones | Social Worker | 3100 East 45th Place, 212, Cleveland, OH 44127 | 2017-07-17 |
| 1659893717 | Nurah Abdulwahab | Social Worker | 3100 E 45th Place, 212, Cleveland, OH 44127 | 2017-07-11 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.