MR. WILLIAM HOLLINGSWORTH (NPI# 1710076914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710076914 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM HOLLINGSWORTH |
| Practice Address |
2640 Milton Ave Janesville WI 53545-0231 |
| Practice Telephone | 6087551475 |
| Practice Fax Number | 6087551733 |
| Mailing Telephone | 6087551475 |
| Mailing Fax Number | 6087551733 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1696-132 | WI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
366-125 | WI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
3044-123 | WI | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 162-124 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39616900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356784094 | William Robert Hollingsworth Jr. | Pharmacist | 135 S Plum St, Fruita, CO 81521-2524 | 2013-04-11 |
| 1144320490 | William B Hollingsworth | Dentist | 3104 W State Highway 22, Corsicana, TX 75110-2435 | 2006-09-25 |
| Street Address |
2640 MILTON AVE |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53545-0231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861760910 | Daniel Richard Mowry | Counselor | 2640 Milton Ave, Janesville, WI 53545-0231 | 2011-12-05 |
| 1578737706 | Janesville Psychiatric Clinic Daytreatment for Children | Counselor | 2640 Milton Ave, Janesville, WI 53545-0231 | 2008-04-18 |
| 1225201320 | Jennifer Robers Miller | Counselor | 2640 Milton Ave, Janesville, WI 53545-0231 | 2008-04-09 |
| 1962526681 | Elaine Stipetich | Social Worker | 2640 Milton Ave, Janesville, WI 53545-0231 | 2007-03-19 |
| 1922169739 | Lynda Richter | Counselor | 2640 Milton Ave, Janesville, WI 53545-0231 | 2006-12-13 |
| 1609937366 | Sarah Hoffman | Counselor | 2640 Milton Ave, Janesville, WI 53545-0231 | 2006-12-13 |
| 1932298031 | Brenda Hein-drew | Counselor | 2640 Milton Ave, Janesville, WI 53545-0231 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730743816 | Wisteria Lyn Gunnink | Social Worker | 3530 N County Highway F, Janesville, WI 53545 | 2019-04-24 |
| 1730601295 | Selma Mohammedi | Dentist | 1260 Milton Ave Ste 140-150, Janesville, WI 53545 | 2017-07-16 |
| 1205357472 | Andrea Jayne Thompson | Physical Therapist | 3418 N Parker Dr., Janesville, WI 53545 | 2017-06-28 |
| 1639549983 | Sylvia Andrus | Physical Therapy Assistant | 3400 N Country Highway F, Janesville, WI 53545 | 2015-09-30 |
| 1518372564 | Kimberly Ann Bishop | Registered Nurse | 32 E. Racine Street, Suite 150, Janesville, WI 53545 | 2014-06-29 |
| 1679998314 | Quirt Family Dentistry | Dentist | 2201 Humes Road Suite 150, Janesville, WI 53545 | 2014-03-04 |
| 1104163740 | Sarah J Fredricks | Licensed Practical Nurse | 1406 Holiday Drive, Janesville, WI 53545 | 2013-01-15 |
| 1659629335 | Parvin Mesbah | Pharmacist | 2017 Old Humes Road, T-0809, Janesville, WI 53545 | 2012-08-28 |
| 1962797118 | Tiffany Schmidt | Pharmacist | 2017 Humes Road, T-0809, Janesv Ille, WI 53545 | 2011-06-16 |
| 1174817795 | Megan Steiner | Dentist | 1504 Creston Park Drive, Janesville, WI 53545 | 2011-05-31 |
| Find all providers in zip 53545 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700131232 | Tiffany L Strodthoff | Counselor | 15 W Milwaukee St Ste 207, Janesville, WI 53548-2998 | 2012-07-20 |
| 1396018131 | Holli K Tinder | Counselor | 2000 E Racine St Ste 120, Janesville, WI 53545-4300 | 2012-02-09 |
| 1821398736 | Passageway, Inc. Frs-tr | Counselor | 3246 W Rollingwood Dr, Janesville, WI 53545-9030 | 2010-10-25 |
| 1154631679 | Cheryl M Frei | Counselor | 200 S Parker Dr, Janesville, WI 53545-3932 | 2010-10-18 |
| 1851546667 | Amanda L Ballard | Counselor | 2600 Humes Rd Ste 100, Janesville, WI 53545 | 2008-11-20 |
| 1376711671 | Kim N Conrad | Counselor | 612 N Randall Ave Ste A, Janesville, WI 53545-1958 | 2008-02-20 |
| 1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
| 1265562037 | Kathleen M Miller | Counselor | 3246 W. Rollingwood Drive, Janesville, WI 53545-9030 | 2007-03-07 |
| 1255348314 | Sam Paul Romano Jr. | Counselor | 612 N Randall Ave, Janesville, WI 53545-1958 | 2006-08-02 |
| 1972163004 | Danielle R. Ebben | Counselor | 2600 Humes Rd Ste 100, Janesville, WI 53545-0491 | 2019-06-20 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53545 |
Please comment or provide details below to improve the information on MR. WILLIAM HOLLINGSWORTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.