Stephanie Carolyn Holmes

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000226334 Issued in MA

Practice address

1160 Great Pond Rd
North Andover, MA 01845-1206

Phone

(914) 497-7994

NPI assigned

Nov 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1376144311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 GREAT POND RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451206",
            "telephone_number": "914-497-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 GREAT POND RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451206",
            "telephone_number": "914-497-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "STEPHANIE",
        "middle_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "000226334",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MA",
            "license": "000226334",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000226334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie M Hoff
• Holly Harmon, Licsw, LLC
• Elizabeth B Holman, D.V.M.
• Elizabeth Ann Holmes-Coutracos, MA
• Julia Michele Holmes
• Sharon Hoory
• Birgid Hopkins, ATC
• Michael Hornberger, DVM
• Elizabeth Lee Horton, M.S., CCC-SLP
• Hospitality Resorts

• Clinical Social Worker in North Andover, MA
• Providers in North Andover, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.