Kingston Charles Holcomb, MSW LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06263 Issued in MD

Practice address

3527 Rolling Road
Suite 23
Randallstown, MD 21244

Phone

(410) 521-4798

Fax

(410) 521-4745

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

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.

• Kingston C. Holcomb, Certified Counseling Associates, Inc.

  • Community/Behavioral Health Agency
  • Randallstown, MD
  • NPI 1669847281
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306998208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 ROLLING ROAD",
            "address_2": "SUITE 23 ROCKDALE PROFESSIONAL BUILDING",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "21244",
            "telephone_number": "410-521-4798",
            "fax_number": "410-521-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 ROLLING ROAD",
            "address_2": "SUITE 23",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "21244",
            "telephone_number": "410-521-4798",
            "fax_number": "410-521-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "KINGSTON",
        "middle_name": "CHARLES",
        "credential": "MSW LCSWC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara A Hertz, CRNP
• Renee Marcella Hilliard, PHARM.D.
• Sandra Hines, C.R.N.A.
• Sharika N Hinton, R.N.
• Kenetra Hix, M.D.
• Kingston Rashid Holcomb, LMT
• Stephanie Marie Holmbeck, CRNA
• Hope'S Health Care Services, LLC
• Hopebridge Behavioral Health & Rehabilitation
• Angela Hopkins-Luna, M.D.

• Clinical Social Worker in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.