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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639302490

Shaneka Holmes, LCSW is a Clinical Social Worker in Fayetteville, North Carolina. Qualified in 2014, 12 years ago. Licensed in Iowa and North Carolina.

Years since qualifying
12
Licensed in
IA, NC
In the registry since
2009
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

401 Robeson St
Fayetteville, NC 28301-5635
Phone: (910) 286-3424
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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 098724 (IA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 21999 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence P008933 (NC)
Certified Respiratory Therapist Taxonomy 227800000X · Licence A-3745 (NC)

Record details

NPI number1639302490
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 27, 2009
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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