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

Kenneth James Holt, LISW-S, LICDC

Individual provider Social Worker · NPI 1174974117

Kenneth James Holt, LISW-S, LICDC is a Social Worker in Mentor, Ohio. Licensed in Ohio. Registered with an NPI since 2016.

Licensed in
OH
In the registry since
2016
Specialties on file
2

Practice location Address checks out

7232 Justin Way
Mentor, OH 44060-4881
Phone: (440) 578-8200
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 I.1801239 (OH)
Social Worker Taxonomy 104100000X · Licence S.1600314 (OH)

Record details

NPI number1174974117
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW-S , LICDC
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESMarch 28, 2021
Certification dateMarch 28, 2021

Other providers in Mentor