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ODESSA HOLT MSW
NPI 1811472087
Social Worker - Clinical in Providence, RI

Active since October 03, 2018Opted out of Medicare · through Nov 13, 2027
1 HOPPIN ST STE 304, PROVIDENCE, RI 02903(401) 444-3674 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Odessa Holt Msw NPPES

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

ODESSA HOLT MSW (NPI 1811472087) is an individual clinical provider in Providence, Rhode Island, licensed in Massachusetts (113568-SW-LICSW) and active in the NPI registry since October 2018. She has opted out of Medicare through November 13, 2027.

NPPES Registry Identity

NPI1811472087
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameODESSA HOLTCredential: MSW
Location Address1 HOPPIN ST STE 304Providence, RI 02903-4141
Mailing Address21 Great Cedar Swamp RdRehoboth, MA 02769-2837 · (617) 821-3158
Phone(401) 444-3674
Sole ProprietorNo
Enumeration DateOctober 3, 2018
✔ NPI 1811472087 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 MA · 113568-SW-LICSW
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.
1 HOPPIN ST STE 304, Providence, RI 02903
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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

Odessa Holt Msw 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 November 13, 2023 through November 13, 2027.

Opt-Out Effective DateNovember 13, 2023
Opt-Out In Effect ThroughNovember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

JONATHAN DAVID NYCE MD
Pediatrics (Pediatric Cardiology)
1 HOPPIN ST STE 304
PROVIDENCE, RI 02903
Providence County (401) 444-4612
SARAH M GAY PNP-BC
Nurse Practitioner (Pediatrics)
1 HOPPIN ST STE 304
PROVIDENCE, RI 02903
Providence County (401) 444-4612
DR. JAMES WILLIAM ZIEGLER M.D.
Pediatrics (Pediatric Cardiology)
1 HOPPIN ST STE 304
PROVIDENCE, RI 02903
Providence County (401) 444-4612
DR. THOMAS J SEERY MD
Pediatrics (Pediatric Cardiology)
1 HOPPIN ST STE 304
PROVIDENCE, RI 02903
Providence County (401) 444-4612

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 Odessa Holt's NPI number?

The NPI number for Odessa Holt is 1811472087. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Where is Odessa Holt located?

Odessa Holt practices at 1 Hoppin St Ste 304, Providence, RI 02903. The listed phone number is (401) 444-3674.

What is Odessa Holt's specialty?

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

Is Odessa Holt enrolled in Medicare?

No. Odessa Holt has opted out of Medicare through November 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Odessa Holt was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.