Jolene Hollingsworth, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW9387 Issued in FL

Practice address

7635 Ashley Park CT
Suite 503-K
Orlando, FL 32835-6195

Phone

(407) 595-8530

Fax

(407) 296-2286

NPI assigned

Sep 2, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1063645414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 ASHLEY PARK CT",
            "address_2": "SUITE 503-K",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356195",
            "telephone_number": "407-595-8530",
            "fax_number": "407-296-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7635 ASHLEY PARK CT",
            "address_2": "SUITE 503-K",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356195",
            "telephone_number": "407-595-8530",
            "fax_number": "407-296-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "JOLENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW9387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Eileen Holliday
• Shekinah Hollie-Williams, RBT
• Kayla D Holliman
• Stedman Akeem Holliman Sr., MSN, APRN, PMHNP-BC
• Brien Owings Hollingsworth, PA-C
• Denise Marie Hollis, ARNP
• Kaylah Hollis
• Kevin Eugene Hollis, CMA
• Bruce Holloman, DPT, PT
• Ronnie D Holloman

• Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.