DANIEL ROBERT HOLSTEAD NPI 1104977057

NPI Information

  • NPI: 1104977057
  • Provider Name: DANIEL ROBERT HOLSTEAD
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 130 E WALNUT ST
    SUITE 706
    GREEN BAY, WI
    ZIP 54301
  • Phone: (920) 437-8256

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NPI Details

Daniel Robert Holstead 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. Daniel Robert Holstead NPI is 1104977057. 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:

130 E WALNUT ST
SUITE 706
GREEN BAY, WI
ZIP 54301-239
Phone: (920) 437-8256
Fax: (920) 437-1188

The enumeration date for this NPI number is 1/16/2007 and was last updated on 7/8/2007.

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
11041C0700XSocial WorkerClinical526WISCONSINYes

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
10011MEDICARE ID-TYPE UNSPECIFIEDWISCONSINMEDICARE
23886098720007OTHERWISCONSINBLUE CROSS
339761600MEDICAIDWISCONSIN

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: 11/21/2025

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