Active NPI
Sheronda Nicole Holzendorf, TCM
- Social Worker
- Jacksonville, FL
National Provider Identifier
1316436660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 5559 Verbena Rd
Jacksonville, FL 32209-2418 - Phone
- (917) 412-0085
- Fax
- (904) 396-9100
- NPI assigned
- May 2, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
5559 Verbena Rd
Jacksonville, FL 32209-2418
Mailing address
2392 Edgewood Ave N
Jacksonville, FL 32254-1725
Phone (904) 781-7797
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1316436660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2392 EDGEWOOD AVE N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322541725",
"telephone_number": "904-781-7797",
"fax_number": "904-781-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5559 VERBENA RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322092418",
"telephone_number": "917-412-0085",
"fax_number": "904-396-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZENDORF",
"first_name": "SHERONDA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "TCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.