Individual provider Active NPI

Kara Marie Holcomb, MSW

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1083160097
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801100212 Issued in MI
Practice address
3335 S Airport Rd W
Ste 7B
Traverse City, MI 49684-7928
Phone
(231) 715-8466
Fax
(231) 943-2263
NPI assigned
Aug 30, 2016
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801100212 MI Primary

Addresses

Primary practice location

3335 S Airport Rd W
Ste 7B
Traverse City, MI 49684-7928

Mailing address

3335 S Airport Rd W
Ste 7B
Traverse City, MI 49684-7928
Phone (231) 715-8466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181228002013 MI Practitioner - Clinical Social Worker 7113262734 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801100212MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Counseling and Case Management, LLC Clinical CurrentSince Nov 21, 2018 Accepting new patients

Locations

3298 Veterans Dr
Traverse City, MI 49684
Phone (231) 715-1491

3298 Veterans Dr
Ste 1
Traverse City, MI 49684
Phone (231) 715-1491

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1083160097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 S AIRPORT RD W",
            "address_2": "STE 7B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847928",
            "telephone_number": "231-715-8466",
            "fax_number": "231-943-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 S AIRPORT RD W",
            "address_2": "STE 7B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847928",
            "telephone_number": "231-715-8466",
            "fax_number": "231-943-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "KARA",
        "middle_name": "MARIE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.