1. Home
  2. Directory
  3. California
  4. Culver City
  5. Social Worker
  6. NPI Profile

JILL CORDOVA HOLT LCSW
NPI 1902619505
Social Worker - Clinical in Culver City, CA

Active since January 28, 2025PECOS Enrolled
3846 PROSPECT AVE APT 6, CULVER CITY, CA 90232(415) 342-9872 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jill Cordova Holt Lcsw NPPES

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

JILL CORDOVA HOLT LCSW (NPI 1902619505) is an individual clinical provider in Culver City, California, licensed in California (65169) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1902619505
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJILL CORDOVA HOLTCredential: LCSW
Location Address3846 PROSPECT AVE APT 6Culver City, CA 90232-3859
Mailing Address3846 Prospect Ave Apt 6Culver City, CA 90232-3859 · (415) 342-9872
Phone(415) 342-9872
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1902619505 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 · 65169
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.
3846 PROSPECT AVE APT 6, Culver City, CA 90232
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2264929082
PECOS Enrollment IDI20251015002719, I20251020001003
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jill Cordova Holt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC
301 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Sud Specialty Group - Ca
308 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
Grow Healthcare Group PA
2,348 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90232 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 Jill Cordova Holt's NPI number?

The NPI number for Jill Cordova Holt is 1902619505. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Jill Cordova Holt located?

Jill Cordova Holt practices at 3846 Prospect Ave Apt 6, Culver City, CA 90232. The listed phone number is (415) 342-9872.

What is Jill Cordova Holt's specialty?

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

Is Jill Cordova Holt enrolled in Medicare?

Yes. Jill Cordova Holt is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jill Cordova Holt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Cordova Holt reassigns Medicare benefits to 3 organizations: Grow Healthcare Group PC (San Jose, CA), Sud Specialty Group - Ca (Santa Clara, CA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jill Cordova Holt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jill Cordova Holt was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.