Shaneka Holmes, LCSW is a
Social Worker - Clinical based in Fayetteville, North Carolina. Shaneka Holmes is licensed to practice in Iowa (license number 098724) and her current practice location is
401 Robeson St, Fayetteville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 286-3424.
NPI number for Shaneka Holmes is 1639302490 and her current mailing address is Po Box 970, Hope Mills, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639302490.
Healthcare Provider's Profile
| Full Name | Shaneka Holmes |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 401 Robeson St, Fayetteville, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639302490
- Provider Enumeration Date: 08/27/2009
- Last Update Date: 06/25/2020
Medical Identifiers
Medical identifiers for Shaneka Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639302490 | NPI | - | NPPES |
| 7492712 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 21999 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P008933 (North Carolina) | Secondary |
| 227800000X | Respiratory Therapist, Certified | A-3745 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 098724 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaneka Holmes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shaneka Holmes, LCSW
Po Box 970,
Hope Mills, NC 28348-0970
Ph: (910) 286-3424 | Shaneka Holmes, LCSW
401 Robeson St,
Fayetteville, NC 28301-5635
Ph: (910) 286-3424 |
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