Holthaus, Susan

Holthaus, Susan is an individual health care provider with primary practice located at 120 Prosperous Pl Ste 201 , Lexington KY 40509-1866. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Holthaus, Susan can be contacted via phone (216) 468-5000.

Contact Information

Primary practice address
120 Prosperous Pl Ste 201 Lexington KY 40509-1866
Phone: (216) 468-5000
Fax: (216) 456-8128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 253686 Kentucky

Profile Details

NPI number 1902273824
LBN Legal business name Holthaus, Susan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2015
Last updated May 15th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902273824 NPPES
Kentucky MEDICAID 7100579500

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