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: August 09, 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.

NPPES Registry Identity

NPI1114463700
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
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
Fax(757) 255-7139
Sole ProprietorYes
Enumeration DateJanuary 6, 2017
NPI 1114463700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904009488
Definition
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.
5268 GODWIN BLVD, Suffolk, VA 23434

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
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
Non-emergency Medical Transport (VAN)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Social Worker (Clinical)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaconda Holloway's NPI number?

The NPI number for Shaconda Holloway is 1114463700. It was assigned to this individual provider in the NPPES registry on January 6, 2017.

Where is Shaconda Holloway located?

Shaconda Holloway practices at 5268 Godwin Blvd Western Tidewater Mental Health, Suffolk, VA 23434. The listed phone number is (757) 255-7117.

What is Shaconda Holloway's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Shaconda Holloway was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.