Individual provider · Type 1 NPI

Jean Holland, LCSW-R

Clinical Social Worker · New York, NY

NPI number 1578635744 Active

Practice location

1301 5th Ave
New York, NY 10029-3119

Mailing address

78 River Rd Apt 5
Cos Cob, CT 06807-2537

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X015169 (CT)
Clinical Social Worker Primary 1041C0700XR025134-1 (NY)

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 1578635744

Jean Holland, LCSW-R's National Provider Identifier is 1578635744, issued on Nov 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Aug 13, 2025.