Carl F Holmes, LCSW
Social Worker, Clinical in Orange Park, FL. Individual provider (NPI-1).
NPI number1104841311
StatusActive
Last updated in NPPESOct 19, 2022
Details
- NPI
- 1104841311
- Entity type
- Individual (NPI-1)
- Name
- Carl F Holmes
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2006
- Certification date
- Oct 19, 2022
- Last updated
- Oct 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW1413 | FL | Yes |
Practice location
1409 Kingsley Ave Ste 8Orange Park, FL 32073-4553
Phone 904-269-7200 · Fax 904-269-0070
Mailing address
1409 Kingsley Ave Ste 8Orange Park, FL 32073-4553
Phone 904-269-7200 · Fax 904-278-8891
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