Gina Marie Holmes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016718 Issued in PA

Practice address

3295 Forest Inn Rd
Suite 3
Palmerton, PA 18071-5467

Phone

(855) 826-8482

Fax

(855) 826-8482

NPI assigned

Jan 18, 2007

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

Medicare fee-for-service enrollment

Enrolled in PA

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Health Centers of the Lehigh ValleyGroup PAC ID 2961537352, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gina.holmes.1@21036.direct.athenahealth.com

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.

• Neighborhood Health Centers of the Lehigh Valley

  • Federally Qualified Health Center (FQHC)
  • Allentown, PA
  • NPI 1619106382
  Medicare reassignment Care Compare group NPD
• Vita Counseling Partners

  • Clinical Social Worker
  • Palmerton, PA
  • NPI 1144524638
  Medicare reassignment NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1871645754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 FOREST INN RD",
            "address_2": "SUITE 3",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180715467",
            "telephone_number": "855-826-8482",
            "fax_number": "855-826-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 FOREST INN RD",
            "address_2": "SUITE 3",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180715467",
            "telephone_number": "855-826-8482",
            "fax_number": "855-826-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wafa S Hanna, MD
• Britta Hansen, CRNP
• Roxanne T Harrington, LPN-PN308220
• Tara Heydt
• Eric S Holender, D.O.
• Amy L. Houm, M.D.
• John H Nicholson DO PC
• John W. Shewood, DMD, PC
• Michael G. Jusinski, M.D.
• Francis J Kaczmarek, D.P.M.

• Clinical Social Worker in Palmerton, PA
• Providers in Palmerton, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.