Individual provider Active NPI

Heather Lynn Holcomb, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1205945474
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2259-LSCSW Issued in KS
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

Updated by the provider on Oct 28, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2259-LSCSWKSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heather L. Holcomb, Lscsw, LLC Clinical CurrentSince Jan 3, 2017 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

Verify at the official NPI Registry.