Provider Demographics
NPI:1881176634
Name:HOLMES, MEREDITH EASTBURN (LCSW)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:EASTBURN
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 PENNSYLVANIA AVE STE 103A
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-1428
Mailing Address - Country:US
Mailing Address - Phone:302-426-4948
Mailing Address - Fax:302-426-4949
Practice Address - Street 1:2401 PENNSYLVANIA AVE STE 103A
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-1428
Practice Address - Country:US
Practice Address - Phone:302-426-4948
Practice Address - Fax:302-426-4949
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00016431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical