Holly Homan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007764A Issued in IN

Practice address

802 Mulberry St Ste DB-04
Noblesville, IN 46060-3409

Phone

(317) 734-8859

NPI assigned

Aug 13, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Holly Haun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003331877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4696 W CHERT DR",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461636300",
            "telephone_number": "317-734-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MULBERRY ST STE DB-04",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603409",
            "telephone_number": "317-734-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMAN",
        "first_name": "HOLLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007764A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "HAUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Holloway, PA-C
• Robert Lee Holloway, DDS
• Samantha Lynn Holman, OD
• Amy Brooks Holt, LMT
• Stephanie Holzback
• Nancy Kristin Homan, LCSW
• Hook-Superx LLC
• Hook-Superx LLC
• Hook-Superx LLC
• Hook-Superx LLC

• Clinical Social Worker in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.