Healthcare Provider Details

I. General information

NPI: 1144816810
Provider Name (Legal Business Name): ALEXANDRIA ELIZABETH HOLCHIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRIA ELIZABETH STROUD

II. Dates (important events)

Enumeration Date: 12/17/2020
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 NORTHWEST LN
WARRENSVILLE NC
28693-9244
US

IV. Provider business mailing address

PO BOX 208
JEFFERSON NC
28640-0208
US

V. Phone/Fax

Practice location:
  • Phone: 336-246-9449
  • Fax: 336-384-1626
Mailing address:
  • Phone: 336-246-9449
  • Fax: 336-982-3555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP014802
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC015893
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: