Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Hollianne Marie Ibarra, LCSWA

Individual provider Social Worker · NPI 1639418205

Miss. Hollianne Marie Ibarra, LCSWA is a Clinical Social Worker in Wilmington, North Carolina. Qualified in 2015, 11 years ago. Practices with Brightside Medical of New Jersey PC, a 61-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

7082 Copperfield Ct
Wilmington, NC 28411-7287
Phone: (336) 416-2928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C010094 (NC)
Social Worker Taxonomy 104100000X · Licence P007346 (NC)

Record details

NPI number1639418205
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorNo
NPI enumeratedFebruary 2, 2013
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Brightside Medical Of New Jersey Pc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wilmington