SHANEKA HOLMES LCSW
NPI 1639302490
Social Worker - Clinical in Fayetteville, NC

Q: What is Shaneka Holmes's NPI number?

The NPI number for Shaneka Holmes is 1639302490. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Q: What is Shaneka Holmes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shaneka Holmes was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 27, 2009PECOS Enrolled

401 ROBESON ST, FAYETTEVILLE, NC 28301(910) 286-3424 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Shaneka Holmes Lcsw NPPES

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

SHANEKA HOLMES LCSW (NPI 1639302490) is an individual clinical provider in Fayetteville, North Carolina, licensed in Iowa (098724) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1639302490

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSHANEKA HOLMESCredential: LCSW

Location Address401 ROBESON STFayetteville, NC 28301-5635

Mailing AddressPo Box 970Hope Mills, NC 28348-0970 · (910) 286-3424

Phone(910) 286-3424

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 27, 2009

Last NPPES UpdateJune 25, 2020

NPPES CertifiedJune 25, 2020

✔ NPI 1639302490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in IA · 098724✔ Licensed in NC · P008933

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 21999 (NC)

Also ListedRespiratory Therapist, CertifiedTaxonomy 227800000X · License A-3745 (NC)

401 ROBESON ST, Fayetteville, NC 28301

Open in Google Maps ↗

Other Identifiers 1

Medicaid7492712NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaneka Holmes Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658737408

PECOS Enrollment IDI20260330003696

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 28301 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 $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 16

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

MS. KIMBERLY DENITA DUDLEY

Social Worker (Clinical)