Organization Active NPI

Linda Holcomb,MSW, Inc

  • Clinical Social Worker
  • Rapid City, SD
National Provider Identifier
1972701266
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW-PIP 946 Issued in SD
Legal business name
LINDA HOLCOMB,MSW, INC
Doing business as
Linda Holcomb
Practice address
3601 Canyon Lake Dr
Rapid City, SD 57702-3900
Phone
(605) 341-8647
Fax
(605) 341-0489
NPI assigned
Jul 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Ms. Linda Kay Holcomb, MSW
Title
Clinical Social Worker
Phone
(605) 341-8647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW-PIP 946 SD Primary

Addresses

Primary practice location

3601 Canyon Lake Dr
Rapid City, SD 57702-3900

Mailing address

3601 Canyon Lake Dr
Rapid City, SD 57702-3900
Phone (605) 341-8647

Other identifiers 2

IdentifierTypeStateIssuer
0004392OtherSDBLUE CROSS/BLUE SHIELD
6570532MedicaidSD

Other names 1

  • Linda Holcomb Doing business as

National Provider Directory

National Provider Directory

Locations

3601 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 341-8647

NPI Registry JSON

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1972701266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CANYON LAKE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023900",
            "telephone_number": "605-341-8647",
            "fax_number": "605-341-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CANYON LAKE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023900",
            "telephone_number": "605-341-8647",
            "fax_number": "605-341-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA HOLCOMB,MSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-07",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "605-341-8647",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "CSW-PIP 946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0004392",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6570532",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda Holcomb",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.