GLENN HOLT
NPI 1417444712
Social Worker in Bay Shore, NY

Q: What is Glenn Holt's NPI number?

The NPI number for Glenn Holt is 1417444712. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Q: What is Glenn Holt's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Holt was last updated on April 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 23, 2018PECOS Enrolled

9 4TH AVE, BAY SHORE, NY 11706(631) 665-6707(631) 665-3564 Get Directions Write a Review

NPPES record last updated: April 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Glenn Holt NPPES

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

GLENN HOLT (NPI 1417444712) is an individual social worker in Bay Shore, New York, licensed in New York (102694-1) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417444712

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameGLENN HOLT

Location Address9 4TH AVEBay Shore, NY 11706-7908

Mailing Address203 Gibbs Pond RdNesconset, NY 11767-2265 · (508) 692-8780

Phone(631) 665-6707

Fax(631) 665-3564

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 23, 2018

✔ NPI 1417444712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 102694-1

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

9 4TH AVE, Bay Shore, NY 11706

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Other Identifiers 1

Other102694-1NY · Ny State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn Holt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567857246

PECOS Enrollment IDI20220316000090

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.

Other Providers at the Same Location NPPES 11

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

SUSAN AIKEN NPP

Nurse Practitioner

9 4TH AVE
BAY SHORE, NY 11706

Suffolk County (631) 665-6707

CATHOLIC CHARITIES OF THE DIOCESE OF ROCKVILLE CENTRE

Clinic/Center (Mental Health (Including Community Mental Health Center))

9 4TH AVE
BAY SHORE, NY 11706

Suffolk County (631) 665-6707

MARIE GREEN RN

Registered Nurse

9 4TH AVE
BAY SHORE, NY 11706

Suffolk County (631) 968-9102

ANTHONY A. PELOSI MD

Psychiatry & Neurology (Psychiatry)

9 4TH AVE
BAY SHORE, NY 11706

Suffolk County (631) 665-6707

MEGAN O'SHEA

Social Worker

9 4TH AVE
BAY SHORE, NY 11706

Suffolk County (631) 665-6707

ELIZABETH CURRAN

Nurse Practitioner (Psychiatric/Mental Health)

9 4TH AVE
BAY SHORE, NY 11706

Suffolk County (631) 665-6707

ANNMARIE SAGGIO RN

Registered Nurse

9 4TH AVE
BAY SHORE, NY 11706

Suffolk County (631) 968-9102

PATRICIA MEADE LCSW

Social Worker (Clinical)

9 4TH AVE
BAY SHORE, NY 11706

Suffolk County (631) 665-6707

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 Glenn Holt's NPI number?

The NPI number for Glenn Holt is 1417444712. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Glenn Holt located?

Glenn Holt practices at 9 4th Ave, Bay Shore, NY 11706. The listed phone number is (631) 665-6707.

What is Glenn Holt's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Glenn Holt enrolled in Medicare?

Yes. Glenn Holt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenn Holt was last updated on April 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.