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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.

About Miss Shaconda Larece Holloway L.c.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS SHACONDA LARECE HOLLOWAY L.C.S.W. (NPI 1114463700) is an individual clinical provider in Suffolk, Virginia, licensed in Virginia (0904009488) and active in the NPI registry since January 2017.Information from the official NPPES registry record, last updated January 6, 2017.

NPPES Registry Identity

NPI1114463700
Entity TypeIndividualFemale
Provider Legal NameMISS SHACONDA LARECE HOLLOWAYCredential: L.C.S.W.
Location Address5268 GODWIN BLVD, WESTERN TIDEWATER MENTAL HEALTHSuffolk, VA 23434
Mailing Address3239 Joplin LnChesapeake, VA 23323-1197 · (757) 942-1987 · Fax (757) 255-7139
Phone(757) 255-7117
Fax(757) 255-7139
Sole ProprietorYes
Enumeration DateJanuary 6, 2017
✔ NPI 1114463700 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Social Worker · Clinical

Taxonomy 1041C0700X · Behavioral Health & Social Service Providers

✔ Licensed in VA · 0904009488

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… Show more

5268 GODWIN BLVD, Suffolk, VA 23434
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Other Providers at the Same Location


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

KAREN NICELY LPC
Counselor (Addiction (Substance Use Disorder))
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 925-2227
LUCIANNE W WARREN LCSW
Counselor (Mental Health)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7117
CRISTINA VANESSA REAMON LCSW
Social Worker (Clinical)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 925-2222
MR. DEMETRIOS N PERATSAKIS PD, MS, LPC
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7126
DAYNA BANDY LCSW
Social Worker (Clinical)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7117
PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Clinic/Center (Federally Qualified Health Center (FQHC))
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7133
COURTNEY NICOLE GOOLSBY
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7117
BERNADETTE DENISE WARD LPC
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7107
WESTERN TIDEWATER COMMUNITY MENTAL
Non-emergency Medical Transport (VAN)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7117
DR. SHERONDA FARROW PH.D.
Psychologist (Clinical)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7113
WESTERN TIDEWATER COMMUNITY SERVICES BOARD
Clinic/Center (Adolescent and Children Mental Health)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7100
MS. PATRICIA RAE THORNES LPC
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-2662
MRS. ANGELA FAYE MCKINLEY MA, LPC
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 304-2408
TIFFANY FOX, FOX
Social Worker (Clinical)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7133

Frequently Asked Questions

What is Shaconda Holloway's NPI number?

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

Where is the provider located?

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

What is the provider's specialty?

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