Individual provider Active NPI

Lashaunda Nicole Holmes, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1083206569
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018340 Issued in NC
Practice address
5 Oak Branch Dr Ste H
Greensboro, NC 27407-2157
Phone
(336) 288-9190
Fax
(336) 450-4318
NPI assigned
Feb 6, 2021
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C018340 NC Primary

Addresses

Primary practice location

5 Oak Branch Dr Ste H
Greensboro, NC 27407-2157

Mailing address

5 Oak Branch Dr Ste H
Greensboro, NC 27407-2157
Phone (336) 288-9190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260508003306 NC Practitioner - Clinical Social Worker 0446667539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

301 Elm St
Suite 407
Winston Salem, NC 27103-2961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C018340NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Counseling, PLLC Clinical CurrentSince Apr 20, 2025 Accepting new patients
Quiet Conversations Counseling PLLC Clinical CurrentSince Jun 1, 2026 Accepting new patients

Locations

301 S Elm St
Ste 407
Greensboro, NC 27401
Phone (336) 422-1530

5 Oak Branch Dr
Ste H
Greensboro, NC 27407
Phone (336) 288-9190

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1083206569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OAK BRANCH DR STE H",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072157",
            "telephone_number": "336-288-9190",
            "fax_number": "336-450-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 OAK BRANCH DR STE H",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072157",
            "telephone_number": "336-288-9190",
            "fax_number": "336-450-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "LASHAUNDA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-06",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.