Active NPI
Holly Ann Hemminger, LCSW
- Clinical Social Worker
- Canon Air Force Base, NM
National Provider Identifier
1346770542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-11012
- Practice address
- 224 W D. L. Ingram Ave BLDG. 1408
Canon Air Force Base, NM 87103 - Phone
- (575) 637-4131
- NPI assigned
- Jun 19, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | C-11012 | NM | Primary |
Addresses
Primary practice location
224 W D. L. Ingram Ave BLDG. 1408
Canon Air Force Base, NM 87103
Mailing address
1004 W Yucca Ave
Clovis, NM 88101-3335
Phone (575) 520-1660
Other practice location 1
755 S Telshor Blvd Ste 201B
Las Cruces, NM 88011-3647
Phone (575) 520-1660
Other practice location 2
133 Wyatt Dr Ste 3
Las Cruces, NM 88005-2962
Phone (575) 526-9878
Other names 1
- Holly Ann Raines-Baxter
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 |
|---|---|---|---|
| C-11012 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1346770542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 W YUCCA AVE",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881013335",
"telephone_number": "575-520-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 W D. L. INGRAM AVE BLDG. 1408",
"city": "CANON AIR FORCE BASE",
"state": "NM",
"postal_code": "87103",
"telephone_number": "575-637-4131"
}
],
"practiceLocations": [
{
"address_1": "755 S Telshor Blvd Ste 201B",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880113647",
"country_code": "US",
"telephone_number": "575-520-1660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "133 Wyatt Dr Ste 3",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880052962",
"country_code": "US",
"telephone_number": "575-526-9878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEMMINGER",
"first_name": "HOLLY",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-11012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "RAINES-BAXTER",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.