Individual provider Active NPI

Victoria Lynn Hollis, MSW, LCSW

  • Clinical Social Worker
  • Hendersonville, NC
National Provider Identifier
1215178355
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017236 Issued in NC
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

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

Verify at the official NPI Registry.