SUSAN G HOLLAND – Social Worker, NPI 1063970481

SUSAN G HOLLAND is a healthcare provider. based in Topeka, Kansas. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 4904 (KS). The NPI Number for SUSAN G HOLLAND is 1063970481

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN G HOLLAND
NPI
1063970481
Phone
(785) 354-6241
Address
1500 SW 10TH AVE
Enumeration Date
5 March 2019
Last Update Date
1 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7853549591
Graduation Year
2001 (25 years ago)
PAC ID
6103166954
Group Practice PAC ID
5496659195
Professional Enrollment ID
I20190314001340
Address ID
KS666061670TO901XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

833 CLINICAL SOCIAL WORKER in KS

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Provider Addresses for SUSAN G HOLLAND

  • Stormont Vail Health, 1500, Southwest 10th Avenue, Topeka, Shawnee County, Kansas, 66604, United States

    MEDICAL STAFF SERVICES

    TOPEKA, KS 66604

    Phone: (785) 354-6241

    Fax: (785) 270-4343

    Type: Mailing

  • 3707 SW 6TH AVE

    TOPEKA, KS 666062084

    Phone: (785) 270-4600

    Type: Mailing

  • Stormont Vail Behavioral Health Center, 3707, Southwest 6th Avenue, Topeka, Shawnee County, Kansas, 66606, United States

    TOPEKA, KS 666062084

    Phone: (785) 270-4600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190314001340IClinical Social WorkerKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour43467$0
90834Psychotherapy, 45 minutes8035$0
90791Psychiatric diagnostic evaluation3333$0
View full utilization report →

Insurance plans in this area (ZIP 66604)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496659195View full group profile
NameSpecialtyState
Nurse PractitionerKS
-KS
-KS
Nurse PractitionerKS
-KS
-KS
Nurse PractitionerKS
Cardiac ElectrophysiologyKS
Nurse PractitionerKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

How do I look up SUSAN G HOLLAND by NPI?
Use NPI 1063970481 when you need to reference SUSAN G HOLLAND in forms, claims, or directories.
Is SUSAN G HOLLAND active in the national directory?
SUSAN G HOLLAND's public NPI profile is in an active state.
What field does SUSAN G HOLLAND work in?
You can think of SUSAN G HOLLAND as practicing within Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for SUSAN G HOLLAND?
The page summarizes Topeka, Kansas for SUSAN G HOLLAND; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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