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DR. KATIE M HOLMES LCSW, PHD
NPI 1538214879
Social Worker - Clinical in Bay Shore, NY

Active since January 25, 2007
14 SHORE LANE, BAY SHORE, NY 11706(631) 666-6873 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Katie M Holmes Lcsw, Phd NPPES

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

DR. KATIE M HOLMES LCSW, PHD (NPI 1538214879) is an individual clinical provider in Bay Shore, New York, licensed in New York (075114) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1538214879
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. KATIE M HOLMESCredential: LCSW, PHD
Location Address14 SHORE LANEBay Shore, NY 11706-8734
Mailing Address94 Ocean AveBay Shore, NY 11706-8716 · (631) 463-6239
Phone(631) 666-6873
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1538214879 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 NY · 075114
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.
14 SHORE LANE, Bay Shore, NY 11706
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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 Katie Holmes's NPI number?

The NPI number for Katie Holmes is 1538214879. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Katie Holmes located?

Katie Holmes practices at 14 Shore Lane, Bay Shore, NY 11706. The listed phone number is (631) 666-6873.

What is Katie Holmes'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 Katie Holmes was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.