Individual provider · Type 1 NPI

Mary Alethea Holman, MSSW, LCSW

Clinical Social Worker · Fort Atkinson, WI

NPI number 1114945938 Active

Practice location

1631 Janesville Ave
Fort Atkinson, WI 53538-2727

Fax (920) 563-9576

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4155-123 (WI)

Clinical Social Worker: 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 interpers…

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About NPI 1114945938

Mary Alethea Holman, MSSW, LCSW's National Provider Identifier is 1114945938, issued on Jul 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Atkinson, WI. The record was last updated on Oct 17, 2007.