Kathryn Clarissa Holt, P-LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P006541 Issued in NC

Practice address

5505 Creedmoor Rd Ste 100
Raleigh, NC 27612-6333

Phone

(919) 852-5352

Fax

(919) 852-5323

NPI assigned

Jun 15, 2012

Last updated

Jun 15, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1902168859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 MELLOW FIELD DR, STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27604",
            "telephone_number": "336-244-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 CREEDMOOR RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126333",
            "telephone_number": "919-852-5352",
            "fax_number": "919-852-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "KATHRYN",
        "middle_name": "CLARISSA",
        "name_prefix": "Miss",
        "credential": "P-LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P006541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hope Holt, MD
• Gillian Holt, LPCA, NCC
• James E Holt Jr., P.T.
• John Plummer Holt, M.D.
• Julia Holt
• Kenneth A Holt, M.D.
• Maya Holt
• Patricia Holt
• Rebecca Barksdale Holt, PAC
• Sarah Catherine Holt, MS, OTR/L

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 15, 2012; 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.