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SANDRA A HOLDEN LCSW MSW SAP NPI 1801886122


NPI Information

NPI: 1801886122
Provider Name: SANDRA A HOLDEN, LCSW, MSW, SAP
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
2640 W POINT RD
GREEN BAY, WI
ZIP 54304
Phone: (920) 869-2711
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Sandra A Holden, LCSW, MSW, SAP is a clinical social worker in Green Bay, WI. The provider is 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. Sandra A Holden, LCSW, MSW, SAP NPI is 1801886122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2640 W POINT RD
GREEN BAY, WI
ZIP 54304-344
Phone: (920) 869-2711

The enumeration date for this NPI number is 10/27/2005 and was last updated on 5/18/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist1819WISCONSINNo
21041C0700XSocial WorkerClinical#1819WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000384133MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
2S49183MEDICARE UPINWISCONSIN
339773600MEDICAIDWISCONSIN

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: 4/28/2024

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