Andrea Holden, LMSW
Social Worker, Clinical in Wichita, KS. Individual provider (NPI-1).
NPI number1457741233
StatusActive
Last updated in NPPESJan 30, 2015
Details
- NPI
- 1457741233
- Entity type
- Individual (NPI-1)
- Name
- Andrea Holden
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2015
- Last updated
- Jan 30, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 | 9004 | KS | Yes |
Practice location
4505 E 47th St SWichita, KS 67210-1651
Phone 316-529-9100
Mailing address
710 W Comanche StDodge City, KS 67801-3644
Phone 620-253-6206
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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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