Active NPI
Karen Suzanne Holst, MSW, LCSW
- Clinical Social Worker
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004106
- Practice address
- 6324 Fairview Rd Ste 460
Charlotte, NC 28210-3271 - Phone
- (980) 302-8611
- Fax
- (980) 302-8624
- NPI assigned
- Mar 14, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004106 | NC | Primary |
Addresses
Primary practice location
6324 Fairview Rd Ste 460
Charlotte, NC 28210-3271
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 302-8611
Other practice location 1
5700 Executive Center Dr
Suite 110
Charlotte, NC 28212-8858
Phone (704) 986-1500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kholst815751@direct.novanthealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Nova Southeastern Univ College of Dental Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6324 Fairview Rd
Suite 460
Charlotte, NC 28210-3271
Phone (980) 302-8611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients |
Locations
350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522
1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171
6324 Fairview Rd
Ste 460
Charlotte, NC 28210
Phone (980) 302-8611
13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050
820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- kholst815751@direct.novanthealth.org
Organizations & group practices 6
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1801116405
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1073267126
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1972644334
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Psychiatry Physician
- Charlotte, NC
- NPI 1720625890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1376676601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "980-302-8611",
"fax_number": "980-302-8624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6324 FAIRVIEW RD STE 460",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103271",
"telephone_number": "980-302-8611",
"fax_number": "980-302-8624"
}
],
"practiceLocations": [
{
"address_1": "5700 Executive Center Dr",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282128858",
"country_code": "US",
"telephone_number": "704-986-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLST",
"first_name": "KAREN",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2020-10-27",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004106",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kholst815751@direct.novanthealth.org",
"affiliation": "N",
"address_1": "5700 Executive Center Dr",
"address_2": "Suite 110",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282128858",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.