Individual provider Active NPI

Holly Anne Stephenson, LCSW

  • Clinical Social Worker
  • Pinehurst, NC
National Provider Identifier
1326850702
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017843 Issued in NC
Practice address
45 Aviemore Dr
Pinehurst, NC 28374-9877
Phone
(910) 246-4140
NPI assigned
Jan 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C017843 NC Primary

Addresses

Primary practice location

45 Aviemore Dr
Pinehurst, NC 28374-9877

Mailing address

45 Aviemore Dr
Pinehurst, NC 28374-9877
Phone (650) 215-0127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228000579 NC Practitioner - Clinical Social Worker 3274053624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinehurst Medical Clinic IncGroup PAC ID 5991617169, 162 clinicians

Practice addresses (Care Compare)

45 Aviemore Dr
Pinehurst, NC 28374-9797
Phone (910) 235-3347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C017843NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Greater Vision Counseling & Consulting Agency PLLC Clinical CurrentSince Jan 31, 2025 Accepting new patients
Pinehurst Medical Clinic, Inc. Single Specialty CurrentSince Apr 28, 2025 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

45 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 235-3347

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

402 Harris Ave
Raeford, NC 28376
Phone (910) 848-1638

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1326850702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749877",
            "telephone_number": "650-215-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749877",
            "telephone_number": "910-246-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "HOLLY",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.