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IAN WALTER HOLLOWAY LCSW
NPI 1063711521
Social Worker - Clinical in La Canada Flintridge, CA

Active since March 23, 2011PECOS Enrolled
4362 HAYMAN AVE, LA CANADA FLINTRIDGE, CA 91011(323) 854-7539 Get Directions Write a Review

NPPES record last updated: July 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ian Walter Holloway Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IAN WALTER HOLLOWAY LCSW (NPI 1063711521) is an individual clinical provider in La Canada Flintridge, California, licensed in California (82669) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1063711521
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameIAN WALTER HOLLOWAYCredential: LCSW
Location Address4362 HAYMAN AVELa Canada Flintridge, CA 91011-3226
Mailing Address4362 Hayman AveLa Canada Flintridge, CA 91011-3226 · (323) 854-7539
Phone(323) 854-7539
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 23, 2011
Last NPPES UpdateJuly 7, 2024
NPPES CertifiedJuly 7, 2024
✔ NPI 1063711521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 82669
Definition
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.
4362 HAYMAN AVE, La Canada Flintridge, CA 91011
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian Walter Holloway Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951809763
PECOS Enrollment IDI20250811003756
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Holloway's NPI number?

The NPI number for Ian Holloway is 1063711521. It was assigned to this individual provider in the NPPES registry on March 23, 2011.

Where is Ian Holloway located?

Ian Holloway practices at 4362 Hayman Ave, La Canada Flintridge, CA 91011. The listed phone number is (323) 854-7539.

What is Ian Holloway's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ian Holloway enrolled in Medicare?

Yes. Ian Holloway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Holloway was last updated on July 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.