Kelli Elizabeth Holdt

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C011204 Issued in NC

Practice address

9101 Monroe Rd Ste 155
Charlotte, NC 28270-2467

Phone

(704) 384-1260

Fax

(704) 384-1289

NPI assigned

Jan 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1881870772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 MONROE RD STE 155",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702467",
            "telephone_number": "704-384-1260",
            "fax_number": "704-384-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDT",
        "first_name": "KELLI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P010108",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nerissa A Holden, COSMETOLOGIST
• Tanner Blake Holden
• Carla Holder, MD
• Devon Holder, M.S., CCC-SLP
• Brook Holdredge, CF-SLP
• John G Holevas, MD
• Ronnie Evan Holevas, PT, DPT
• Kelle N. Holgorsen, PA-C, MMS
• Anne Evelyn Holien, PT, DPT
• Dylan Steven Holien

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.