Michelle Corrine Holt, LICSW
NPI 1487210159ActiveIndividual· Social Worker, Clinical· Saint Peter, MN
Social Worker, Clinical (LICSW) with Optimal Brain Mn PLLC, practicing in Saint Peter, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1487210159 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | May 17, 2019 |
| Last updated in NPPES | May 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 22730 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Optimal Brain Mn PLLCOakdale, MN · 21 clinicians
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