DONISHA SHAWNETTA HOLLEY MSW, LCSW
NPI 1508645524
Social Worker - Clinical in Fairfax, VA

Active since September 28, 2023PECOS Enrolled
2740 PROSPERITY AVE STE 300, FAIRFAX, VA 22031(571) 623-3438 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Donisha Shawnetta Holley Msw, Lcsw NPPES

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

DONISHA SHAWNETTA HOLLEY MSW, LCSW (NPI 1508645524) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904015403) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508645524
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDONISHA SHAWNETTA HOLLEYCredential: MSW, LCSW
Location Address2740 PROSPERITY AVE STE 300Fairfax, VA 22031-4354
Mailing Address100 Broadleaf DrJacksonville, NC 28546-4501 · (252) 267-2457
Sole ProprietorNo
Enumeration DateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
NPI 1508645524 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 · 0904015403
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.

2740 PROSPERITY AVE STE 300, Fairfax, VA 22031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Donisha Shawnetta Holley Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508645524, enumerated as an "individual" on September 28, 2023.

The provider is located at 2740 PROSPERITY AVE STE 300 FAIRFAX, VA 22031 and the phone number is (571) 623-3438.

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