Active NPI
Tracy Melissa Holcombe, LCSW
- Clinical Social Worker
- Ringgold, GA
National Provider Identifier
1497201388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004145
- Practice address
- 7831 Nashville St
Ringgold, GA 30736-2360 - Phone
- (423) 718-7562
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW004145 | GA | Primary |
| Clinical Social Worker | 1041C0700X | LSW0000005953 | TN |
Addresses
Primary practice location
7831 Nashville St
Ringgold, GA 30736-2360
Mailing address
PO Box 435
Ringgold, GA 30736-0435
Phone (423) 718-7562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW004145 | GA | MD | Clinical Social Worker |
| LSW0000005953 | TN | MD | Clinical Social Worker |
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": "1497201388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 435",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307360435",
"telephone_number": "423-718-7562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7831 NASHVILLE ST",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307362360",
"telephone_number": "423-718-7562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMBE",
"first_name": "TRACY",
"middle_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004145",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000005953",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ringgold, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.