Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ian Walter Holloway, LCSW

Individual provider Clinical Social Worker · NPI 1063711521

Ian Walter Holloway, LCSW is a Clinical Social Worker in LA Canada Flintridge, California. Qualified in 2012, 14 years ago. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4362 Hayman Ave
LA Canada Flintridge, CA 91011-3226
Phone: (323) 854-7539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 82669 (CA)

Record details

NPI number1063711521
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 23, 2011
Last updated in NPPESJuly 7, 2024
Certification dateJuly 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

Other providers in LA Canada Flintridge