MISS SHACONDA LARECE HOLLOWAY L.C.S.W.
NPI 1114463700
Social Worker - Clinical in Suffolk, VA

Active since January 06, 2017
5268 GODWIN BLVD, WESTERN TIDEWATER MENTAL HEALTH, SUFFOLK, VA 23434(757) 255-7117(757) 255-7139 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Social Worker
  • Clinical

About SHACONDA HOLLOWAY

This page provides the complete NPI Profile along with additional information for Shaconda Holloway, a provider established in Suffolk, Virginia with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1114463700 assigned on January 2017. The practitioner's primary taxonomy code is 1041C0700X with license number 0904009488 (VA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1114463700 Verify this NPI
Provider Name
MISS SHACONDA LARECE HOLLOWAY L.C.S.W.
Gender
Female
Entity Type
Individual
Location Address
5268 GODWIN BLVD WESTERN TIDEWATER MENTAL HEALTH SUFFOLK, VA 23434
Location Phone
(757) 255-7117
Location Fax
(757) 255-7139
Mailing Address
3239 JOPLIN LN CHESAPEAKE, VA 23323
Mailing Phone
(757) 942-1987
Mailing Fax
(757) 255-7139
Is Sole Proprietor?
Yes
Enumeration Date
01-06-2017
Last Update Date
01-06-2017
Code Navigator

A clinical social worker like Shaconda Holloway is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
0904009488
License State
VA
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
5268 GODWIN BLVD
SUFFOLK, VA 23434
Counselor (Mental Health)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Social Worker (Clinical)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Social Worker (Clinical)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Clinic/Center (Federally Qualified Health Center (FQHC))
5268 GODWIN BLVD
SUFFOLK, VA 23434
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Non-emergency Medical Transport (VAN)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Psychologist (Clinical)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Clinic/Center (Adolescent and Children Mental Health)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Social Worker (Clinical)
5268 GODWIN BLVD
SUFFOLK, VA 23434

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114463700, enumerated as an "individual" on January 06, 2017.

The provider is located at 5268 GODWIN BLVD WESTERN TIDEWATER MENTAL HEALTH SUFFOLK, VA 23434 and the phone number is (757) 255-7117.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.