Kenneth Holt, LISW-S, LICDC
NPI 1174974117 · Clinical Social Worker · Mentor, OH
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Holt, LISW-S, LICDC is a Clinical Social Worker provider in Mentor, OH (NPI 1174974117).
Provider details
- NPI number
- 1174974117
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW-S, LICDC
- Sex
- Male
- Sole proprietor
- No
- License
- S.1600314 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-06-30
- Last updated
- 2021-03-28
- Certified
- 2021-03-28
Frequently asked questions
- What is Kenneth Holt's NPI number?
- Kenneth Holt's National Provider Identifier (NPI) is 1174974117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Holt's specialty?
- Kenneth Holt is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kenneth Holt located?
- Kenneth Holt's practice location on file with NPPES is 7232 Justin Way, Mentor, OH 44060-4881.
- What is Kenneth Holt's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Holt is (440) 578-8200.
- Does Kenneth Holt accept Medicare?
- Kenneth Holt is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Holt's NPI active?
- Yes — Kenneth Holt's NPI (1174974117) is active in the NPPES registry as of the last update on 2021-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.