Active NPI
Victoria Lynn Hollis, MSW, LCSW
- Clinical Social Worker
- Hendersonville, NC
National Provider Identifier
1215178355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C017236
- Practice address
- 1027 Fleming St Ste a
Hendersonville, NC 28791-3534 - Phone
- (828) 435-8140
- NPI assigned
- Mar 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW003222 | GA | |
| Clinical Social Worker | 1041C0700X | C017236 | NC | Primary |
Addresses
Primary practice location
1027 Fleming St Ste a
Hendersonville, NC 28791-3534
Mailing address
PO Box 2488
Brevard, NC 28712-2488
Phone (706) 338-9773
Other practice location 1
852 Dacula Rd
Dacula, GA 30019-3185
Phone (770) 848-9360
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | valbanese30391@nghs.gadirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1215178355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2488",
"city": "BREVARD",
"state": "NC",
"postal_code": "287122488",
"telephone_number": "706-338-9773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 FLEMING ST STE A",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287913534",
"telephone_number": "828-435-8140"
}
],
"practiceLocations": [
{
"address_1": "852 Dacula Rd",
"address_purpose": "LOCATION",
"city": "Dacula",
"state": "GA",
"postal_code": "300193185",
"country_code": "US",
"telephone_number": "770-848-9360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLIS",
"first_name": "VICTORIA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-19",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW003222",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C017236",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "valbanese30391@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "852 Dacula Rd",
"city": "Dacula",
"state": "GA",
"country_code": "US",
"postal_code": "300193185",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.