Individual provider Active NPI

Emily M Holmes, LCSW

  • Social Worker
  • Little Rock Afb, AR
National Provider Identifier
1093049447
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
101 MSGT Dan Wassom Rd
Little Rock Afb, AR 72099-8066
Phone
(501) 987-8752
NPI assigned
Oct 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X AR Primary

Addresses

Primary practice location

101 MSGT Dan Wassom Rd
Little Rock Afb, AR 72099-8066

Mailing address

101 MSGT Dan Wassam Rd
Little Rock Afb, AR 72099-0001
Phone (501) 987-8752

Other names 1

  • Emily M Edwards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20141016000225 AR Practitioner - Clinical Social Worker 2769603760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCT, Inc. CurrentSince Aug 30, 2024 Accepting new patients
MCT, Inc. CurrentSince Aug 30, 2024 Accepting new patients

Locations

10618 Breckenridge Dr
Little Rock, AR 72211
Phone (501) 217-8600

1500 N Mississippi St
Little Rock, AR 72207
Phone (501) 217-8600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1093049447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MSGT DAN WASSAM RD",
            "city": "LITTLE ROCK AFB",
            "state": "AR",
            "postal_code": "720990001",
            "telephone_number": "501-987-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MSGT DAN WASSOM RD",
            "city": "LITTLE ROCK AFB",
            "state": "AR",
            "postal_code": "720998066",
            "telephone_number": "501-987-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "EMILY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "EDWARDS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock Afb, AR

Sources for this page

Verify at the official NPI Registry.