Active NPI
Donita Patricia Holmes, LISW-CP
- Clinical Social Worker
- Rock Hill, SC
National Provider Identifier
1295778728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8780
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295778728 | Medicaid | SC | |
| 6106559 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C005480 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sankofa Therapeutic Concepts, LLC | Clinical | Past | 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.
-
- Clinical Social Worker
- Fort Mill, SC
- NPI 1588816870
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
- Beverly Donnell Holbrook, LMSW
- Hillary Holbrook, M.S. CCC-SLP
- Naterea Holley, LMSW
- Justine E Holm, ATC
- Cheryl Holmes
- Christy Dawn Holshouser, FNP
- Melanie Marie Holstead, CNP
- Home Care Professionals
- Home Health Companion Services of South Carolina Inc
- Home Health of South Carolina Inc (Home Health Inc)
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.