Individual provider Active NPI

Julie Johnston Holcomb, LCSW

  • Clinical Social Worker
  • Hernando, MS
National Provider Identifier
1710604285
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C10481 Issued in MS
Practice address
1214 Katie CV
Hernando, MS 38632-8050
Phone
(901) 490-1923
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C10481 MS Primary
Clinical Social Worker 1041C0700X 6819 TN

Addresses

Primary practice location

1214 Katie CV
Hernando, MS 38632-8050

Mailing address

1214 Katie CV
Hernando, MS 38632-8050
Phone (901) 490-1923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20230502001443 MS Practitioner - Clinical Social Worker 5294190955 Reassigns benefits to 1 organization
Practice locations: Olive Branch, MS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7155 Kerr PL
Olive Branch, MS 38654-1640
Phone (662) 469-9432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6819TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soulshine Counseling and Wellness, LLC CurrentSince Apr 1, 2023 Accepting new patients
Spectrum Counseling & Wellness Clinical CurrentSince Oct 30, 2022 Accepting new patients

Locations

7155 Kerr Pl
Olive Branch, MS 38654
Phone (662) 205-8124

1310 Goodman Rd E
Southaven, MS 38671
Phone (662) 470-5433

Organizations & group practices 2

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1710604285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 KATIE CV",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328050",
            "telephone_number": "901-490-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 KATIE CV",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328050",
            "telephone_number": "901-490-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "JULIE",
        "middle_name": "JOHNSTON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C10481",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, MS

Sources for this page

Verify at the official NPI Registry.