Individual provider Active NPI

Catherine Renee Holcomb, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1942321112
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007001A Issued in IN
Practice address
1040 E 86TH St Ste 44C
Indianapolis, IN 46240-1856
Phone
(317) 649-8738
Fax
(317) 342-5145
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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 38621 TX
Clinical Social Worker 1041C0700X 34007001A IN Primary

Addresses

Primary practice location

1040 E 86TH St Ste 44C
Indianapolis, IN 46240-1856

Mailing address

1040 E 86TH St Ste 44C
Indianapolis, IN 46240-1856
Phone (317) 649-8738

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34007001AINMDClinical Social Worker
38621TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Tree Therapy Clinical CurrentSince Jul 1, 2020 Accepting new patients

Locations

1040 E 86th St
Ste 44C
Indianapolis, IN 46240
Phone (317) 649-8738

1040 E 86th St
Ste 44N
Indianapolis, IN 46240
Phone (317) 721-5821

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1942321112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 E 86TH ST STE 44C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401856",
            "telephone_number": "317-649-8738",
            "fax_number": "317-342-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 E 86TH ST STE 44C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401856",
            "telephone_number": "317-649-8738",
            "fax_number": "317-342-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "CATHERINE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "38621",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.