Provider Demographics
NPI:1124695895
Name:HOLMES, ANNE ELLIS (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:ELLIS
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 NEBRAKA STREET
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806
Mailing Address - Country:US
Mailing Address - Phone:919-215-2377
Mailing Address - Fax:
Practice Address - Street 1:70 WOODFIN PL STE 319
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2466
Practice Address - Country:US
Practice Address - Phone:828-222-3998
Practice Address - Fax:828-222-3998
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0009923513104100000X
COCSW.099289641041C0700X
NCC0159941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker