Holly Roberts Jones, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007297 Issued in NC

Practice address

61 Hay Bale Way
Four Oaks, NC 27524-7538

Phone

(910) 824-4760

NPI assigned

Jul 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Golden Age Therapy PLLC

  • Clinical Social Worker
  • Four Oaks, NC
  • NPI 1972344307
  Medicare reassignment NPD Authorized official
• Compassion Connect Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Lumberton, NC
  • NPI 1831068931
  NPD
• R-M Innovated, PLLC

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1124304316
  NPD (past)

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1760611610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HAY BALE WAY",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "275247538",
            "telephone_number": "910-824-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 HAY BALE WAY",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "275247538",
            "telephone_number": "910-824-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "HOLLY",
        "middle_name": "ROBERTS",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007879",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dallas Johnson
• Olivia Johnson, MD
• Johnston County Group Homes, Inc.
• Johnston County Pharmacies Inc
• Johnston County Pharmacies, Inc
• Victoria Marquitta Jones
• Jordan & Guirguis Inc
• Kerr Drug Inc
• Laboratory Corporation of America Holdings
• Heather Daughtry McLamb, PHARMD

• Clinical Social Worker in Four Oaks, NC
• Providers in Four Oaks, 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 Feb 7, 2024; 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.