Carl F Holmes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW1413 Issued in FL

Practice address

1409 Kingsley Ave Ste 8
Orange Park, FL 32073-4553

Phone

(904) 269-7200

Fax

(904) 269-0070

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

First Coast Mental Health P aGroup PAC ID 1658435482, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• First Coast Mental Health P a

  • Psychiatry Physician
  • Orange Park, FL
  • NPI 1285884650
  Medicare reassignment Care Compare group NPD
• Emanuel Martinez MD and Associates

  • Psychiatry Physician
  • Orange Park, FL
  • NPI 1851556211
  NPD
• David Leonard Sall, M.D. P.a.

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1770840423
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1104841311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE STE 8",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734553",
            "telephone_number": "904-269-7200",
            "fax_number": "904-278-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE STE 8",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734553",
            "telephone_number": "904-269-7200",
            "fax_number": "904-269-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "CARL",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glorive Holifield, L.C.S.W.
• Ida Marie Holley, LMHC
• Toby D Holley, LMHC
• Kassidy Holliday
• Tonya Nichelle Hollinger, MD
• Latonda E Holmes
• Tiffany Holmes, OT
• Cecelia Melissa Holtrop
• Homecare Assisted Living
• Homecare Friends, LLC

• Clinical Social Worker in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.