MEDICARE: JANELLE T HOLMES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	098254	NY

General Provider Information

NPI Number	:	1881341436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANELLE T HOLMES

Provider Business Mailing Address
First Line	:	100 KINGS HWY S
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-5504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	224 ALEXANDER ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14607-4000
Country	:	US
Telephone Number	:	585-489-7905
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2022
Last Update Date	:	04/15/2026

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Directions to “ JANELLE T HOLMES ” Practice Location

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