Provider Demographics
NPI:1821379504
Name:HOLDEN, WILLIAM EDWARD JACOB (MSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:EDWARD JACOB
Last Name:HOLDEN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:MR
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:HOLDEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW (PA) ,LMSW (MI)
Mailing Address - Street 1:3621 S STATE ST
Mailing Address - Street 2:700 KMS PLACE
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:734-936-2047
Mailing Address - Fax:
Practice Address - Street 1:8744 WHITTAKER RD
Practice Address - Street 2:RM 812
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197
Practice Address - Country:US
Practice Address - Phone:734-714-9509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical