Individual provider Active NPI

Holly Lynn Lewis, LCSW

  • Clinical Social Worker
  • Noblesville, IN
National Provider Identifier
1275709537
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010861A Issued in IN
Practice address
17840 Cumberland Rd
Noblesville, IN 46060-5409
Phone
(317) 574-1254
Fax
(317) 674-0060
NPI assigned
May 6, 2008
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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 34010861A IN Primary

Addresses

Primary practice location

17840 Cumberland Rd
Noblesville, IN 46060-5409

Mailing address

697 Pro Med LN
Carmel, IN 46032-5323
Phone (317) 574-1254

Other identifiers 1

IdentifierTypeStateIssuer
300085572MedicaidIN

Other names 1

  • Holly Oliver Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240123002863 IN Practitioner - Clinical Social Worker 5597117705 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four County Comprehensive Mental Health Center IncGroup PAC ID 2163334277, 42 clinicians

Practice addresses (Care Compare)

1000 N Broadway
Peru, IN 46970-1070
Phone (574) 722-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34010861AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Indiana Inc. Clinical CurrentSince Feb 19, 2024 Accepting new patients
Aspire Indiana Health Inc CurrentSince Feb 19, 2024 Accepting new patients
Four County Comprehensive Mental Health Center, Inc CurrentSince Jan 6, 2026 Accepting new patients
Aspire Indiana Health Inc. CurrentSince Feb 19, 2024 Accepting new patients
Community Howard Regional Health Inc CurrentSince Feb 1, 2024 Accepting new patients
Four County Comprehensive Mental Health Center Inc CurrentSince Jan 6, 2026 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1933 Chase St
Anderson, IN 46016
Phone (765) 622-7466

2009 Brown St
Anderson, IN 46016
Phone (765) 393-3891

2020 Brown St
Anderson, IN 46016
Phone (317) 649-8161

4038 Ridgeview Dr
Anderson, IN 46013

4038 Ridgeview Dr
#1
Anderson, IN 46013
Phone (317) 587-0533

697 Pro Med Ln
Carmel, IN 46032
Phone (317) 574-0055

10731 N State Road 13
Elwood, IN 46036
Phone (765) 552-5009

205 N Jackson St
Frankfort, IN 46041
Phone (765) 659-4771

201 Shelby St
Indianapolis, IN 46202
Phone (317) 637-9816

2506 Willowbrook Pkwy
Ste 111
Indianapolis, IN 46205
Phone (317) 587-0567

2506 Willowbrook Pkwy
Ste 300
Indianapolis, IN 46205
Phone (317) 587-0567

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

1948 W Boulevard
#4C
Kokomo, IN 46902

322 N Main St
Kokomo, IN 46901
Phone (765) 453-8238

1600 W Main St
Lebanon, IN 46052
Phone (765) 335-7702

1015 Michigan Ave
Logansport, IN 46947

17840 Cumberland Rd
Noblesville, IN 46060
Phone (317) 773-6864

9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500

1000 N Broadway
Peru, IN 46970
Phone (765) 472-5335

2355 S Business 31
Peru, IN 46970

655 E Main St
Peru, IN 46970
Phone (765) 472-1931

Interoperability endpoints

  • Direct secure messaging: holly.lewis.1@20553.direct.athenahealth.com

Organizations & group practices 6

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1275709537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 PRO MED LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325323",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17840 CUMBERLAND RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605409",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010861A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300085572",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "OLIVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.