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

Jill Cordova Holt, LCSW

Individual provider Clinical Social Worker · NPI 1902619505

Jill Cordova Holt, LCSW is a Clinical Social Worker in Culver City, California. Qualified in 2007, 19 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2025
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

3846 Prospect Ave Apt 6
Culver City, CA 90232-3859
Phone: (415) 342-9872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 65169 (CA)

Record details

NPI number1902619505
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 28, 2025
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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