JOHN J. HOLDEN LCSW-R
NPI 1396995429
Social Worker - Clinical in Rensselaer, NY

Q: What is John Holden's NPI number?

The NPI number for John Holden is 1396995429. It was assigned to this individual provider in the NPPES registry on September 25, 2008.

Q: What is John Holden's specialty?

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

Q: Is John Holden enrolled in Medicare?

No. John Holden has opted out of Medicare through July 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for John Holden was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 25, 2008Opted out of Medicare · through Jul 27, 2027

1641 3RD ST, RENSSELAER, NY 12144(518) 463-8869(518) 463-8733 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2021, Apr 14, 2021 (2 updates tracked since 2021).

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About John J. Holden Lcsw-r NPPES

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

JOHN J. HOLDEN LCSW-R (NPI 1396995429) is an individual clinical provider in Rensselaer, New York, licensed in New York (R081637-1) and active in the NPI registry since September 2008. He has opted out of Medicare through July 27, 2027.

NPPES Registry Identity

NPI1396995429

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJOHN J. HOLDENCredential: LCSW-R

Location Address1641 3RD STRensselaer, NY 12144-1539

Mailing Address1641 3rd StRensselaer, NY 12144-1539 · (518) 463-8869 · Fax (518) 463-8733

Phone(518) 463-8869

Fax(518) 463-8733

Sole ProprietorYes

Enumeration DateSeptember 25, 2008

Last NPPES UpdateApril 28, 20212 updates tracked since enumeration

NPPES CertifiedApril 28, 2021

✔ NPI 1396995429 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 NY · R081637-1

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.

1641 3RD ST, Rensselaer, NY 12144

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

John J. Holden Lcsw-r has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 27, 2021 through July 27, 2027.

Opt-Out Effective DateJuly 27, 2021

Opt-Out In Effect ThroughJuly 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CARRIE HIGGINS TOWLE LCSW

Social Worker (Clinical)