Individual provider Active NPI

Donita Patricia Holmes, LISW-CP

  • Clinical Social Worker
  • Rock Hill, SC
National Provider Identifier
1295778728
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8780 Issued in SC
Practice address
737 Sawgrass Ridge CT
Rock Hill, SC 29732-7009
Phone
(803) 207-0993
Fax
(866) 591-1741
NPI assigned
Jun 13, 2006
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Social Worker 1041C0700X C005480 NC
Clinical Social Worker 1041C0700X 8780 SC Primary

Addresses

Primary practice location

737 Sawgrass Ridge CT
Rock Hill, SC 29732-7009

Mailing address

737 Sawgrass Ridge CT
Rock Hill, SC 29732-7009
Phone (803) 207-0993

Other identifiers 2

IdentifierTypeStateIssuer
1295778728MedicaidSC
6106559MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005480NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sankofa Therapeutic Concepts, LLC Clinical PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1295778728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 SAWGRASS RIDGE CT",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297327009",
            "telephone_number": "803-207-0993",
            "fax_number": "866-591-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 SAWGRASS RIDGE CT",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297327009",
            "telephone_number": "803-207-0993",
            "fax_number": "866-591-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "DONITA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005480",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295778728",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106559",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.