Elisabeth Holbein, LCSW
Social Worker, Clinical in Baldwinsville, NY. Individual provider (NPI-1).
NPI number1053858043
StatusActive
Last updated in NPPESFeb 11, 2025
Details
- NPI
- 1053858043
- Entity type
- Individual (NPI-1)
- Name
- Elisabeth Holbein
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2017
- Certification date
- Feb 11, 2025
- Last updated
- Feb 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 090900 | NY | Yes |
| 104100000X | Social Worker | – | – | |
| 1041C0700X | Social Worker, Clinical | – | NY |
Practice location
15 E Genesee St Ste 203Baldwinsville, NY 13027-2564
Phone 315-303-8901
Mailing address
Po Box 608Wampsville, NY 13163-0608
Phone 315-366-2327
Other practice locations
1519 Nye Rd
Lyons, NY 14489-9133
Lyons, NY 14489-9133
Phone 315-946-5722 · Fax 315-946-5722
138 N Court St
Wampsville, NY 13163-7714
Wampsville, NY 13163-7714
Phone 315-366-2327
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Clinical Social Worker providers in Baldwinsville · All 514 providers in Baldwinsville
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