Shaneka Holmes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

098724 Issued in IA

Practice address

401 Robeson St
Fayetteville, NC 28301-5635

Phone

(910) 286-3424

NPI assigned

Aug 27, 2009

Last updated

Jun 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alaniz Counseling and Behavioral Center, P.C.

  • Professional Counselor
  • San Antonio, TX
  • NPI 1811288731
  Medicare reassignment
• Face II Face Community Services

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1487896387
  NPD (past) Authorized official
• Carter Clinic PA

  • Psychiatry Physician
  • Smithfield, NC
  • NPI 1477810034
  NPD (past)
• Carter Clinic PA

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1972990877
  NPD (past)
• Carter Clinic, P.a.

  • Psychiatry Physician
  • Wilson, NC
  • NPI 1588211049
  NPD (past)
• Carter Clinic, P.a.

  • Psychiatry Physician
  • Kinston, NC
  • NPI 1982298261
  NPD (past)
• Carter Clinic, PA

  • Psychiatry Physician
  • Dunn, NC
  • NPI 1215461231
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1639302490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283480970",
            "telephone_number": "910-286-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ROBESON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015635",
            "telephone_number": "910-286-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "SHANEKA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21999",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008933",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "098724",
            "primary": true
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "NC",
            "license": "A-3745",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7492712",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leighanna Holloman
• Samantha Nicole Hollon
• Denise Downing Holmes, M.ED.
• Kathleen Herring Holmes, LMSW
• Marlene Rose Holmes, ASSO.HUMAN SERVICES
• Shaniyah Holmes
• Taylor Reann Holmes
• Deborah Ann Holston
• Jazzlyn Omunique Holston
• Deanna Holt

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.