Active NPI
Pamela M Holmes, LCSW
- Clinical Social Worker
- Richmond Hill, GA
National Provider Identifier
1609915446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW003756
- Practice address
- 9998 Ford Ave
Suite 5
Richmond Hill, GA 31324-4063 - Phone
- (912) 756-7136
- Fax
- (912) 756-7146
- NPI assigned
- Feb 6, 2007
- Last updated
- Aug 2, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW003756 | GA | Primary |
Addresses
Primary practice location
9998 Ford Ave
Suite 5
Richmond Hill, GA 31324-4063
Mailing address
PO Box 213
Jesup, GA 31598-0213
Phone (912) 424-8118
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 |
|---|---|---|---|
| CSW003756 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LCSW Solutions, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1609915446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 213",
"city": "JESUP",
"state": "GA",
"postal_code": "315980213",
"telephone_number": "912-424-8118",
"fax_number": "912-756-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9998 FORD AVE",
"address_2": "SUITE 5",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313244063",
"telephone_number": "912-756-7136",
"fax_number": "912-756-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "PAMELA",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW003756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.