TODD ROBERT HOLMAN MSW LCSW NPI 1245337930

NPI Information

NPI: 1245337930
Provider Name: TODD ROBERT HOLMAN, MSW LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
820 ARBUTUS AVE
OCONTO, WI
ZIP 54153
Phone: (920) 835-5500
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Todd Robert Holman, MSW LCSW is a mental health counselor in Oconto, WI. Todd Robert Holman, MSW LCSW NPI is 1245337930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

820 ARBUTUS AVE
OCONTO, WI
ZIP 54153-004
Phone: (920) 835-5500
Fax: (920) 835-5510

The enumeration date for this NPI number is 9/17/2006 and was last updated on 3/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	7125123	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	40908500	MEDICAID	WISCONSIN
2	7125123	OTHER	WISCONSIN	LICENSE
3	K400280865	MEDICARE OSCAR/CERTIFICATION	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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