Active NPI
Heather Lynn Holcomb, LSCSW
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1205945474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2259-LSCSW
- Practice address
- 8100 E 22ND St N Ste 100-2
Wichita, KS 67226-2301 - Phone
- (316) 686-5195
- Fax
- (316) 686-8714
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2259-LSCSW | KS | Primary |
Addresses
Primary practice location
8100 E 22ND St N Ste 100-2
Wichita, KS 67226-2301
Mailing address
8100 E 22ND St N Ste 100-2
Wichita, KS 67226-2301
Phone (316) 300-5787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070625000485 | KS | Practitioner - Clinical Social Worker | 9133228646 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8100 E 22ND St N
BLDG 100 Suite 2
Wichita, KS 67226-2301
Phone (316) 300-5787
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2259-LSCSW | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather L. Holcomb, Lscsw, LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1205945474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 E 22ND ST N STE 100-2",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262301",
"telephone_number": "316-300-5787",
"fax_number": "316-999-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 E 22ND ST N STE 100-2",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262301",
"telephone_number": "316-686-5195",
"fax_number": "316-686-8714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "HEATHER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "2259-LSCSW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.