Provider Demographics
NPI:1265925531
Name:HOLDER, SONDRA (MSSW;LCSW)
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:
Last Name:HOLDER
Suffix:
Gender:F
Credentials:MSSW;LCSW
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:
Other - Last Name:HOLDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8712 ASHEVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37924-4501
Mailing Address - Country:US
Mailing Address - Phone:865-932-3633
Mailing Address - Fax:
Practice Address - Street 1:8712 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37924-4501
Practice Address - Country:US
Practice Address - Phone:865-932-3633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9652104100000X
TN85561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker