Individual provider Active NPI

Holly J Motley, LCSW-A

  • Clinical Social Worker
  • High Point, NC
National Provider Identifier
1851179576
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P016923 Issued in NC
Practice address
2121 Eastchester Dr Ste 105
High Point, NC 27265-1535
Phone
(336) 332-2277
NPI assigned
Sep 15, 2023
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P016923 NC Primary

Addresses

Primary practice location

2121 Eastchester Dr Ste 105
High Point, NC 27265-1535

Mailing address

1629 Olivers Crossing Cir
Winston Salem, NC 27127-7164
Phone (336) 582-1280

Other practice location 1

3000 Bethesda Pl Ste 501
Winston Salem, NC 27103-3327
Phone (336) 332-2277

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416000036 NC Practitioner - Clinical Social Worker 7911422654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Single Specialty Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Apr 19, 2025 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Apr 19, 2025 Accepting new patients
Tides Counseling and Wellness, PLLC Clinical CurrentSince Sep 17, 2023 Accepting new patients

Locations

1103 N Elm St
Ste 300
Greensboro, NC 27401
Phone (336) 271-3331

300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219

301 E Wendover Ave
Ste 311
Greensboro, NC 27401
Phone (336) 272-6161

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

2121 Eastchester Dr
Ste 105
High Point, NC 27265
Phone (336) 332-2277

Organizations & group practices 4

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": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1851179576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 OLIVERS CROSSING CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277164",
            "telephone_number": "336-582-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EASTCHESTER DR STE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651535",
            "telephone_number": "336-332-2277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Bethesda Pl Ste 501",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033327",
            "country_code": "US",
            "telephone_number": "336-332-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTLEY",
        "first_name": "HOLLY",
        "middle_name": "J",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.