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KATELYN HOLSCLAW LCSW
NPI 1174176077
Social Worker - Clinical in Park Ridge, IL

Active since July 19, 2019PECOS Enrolled
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068(219) 921-9519 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 22, 2023, Feb 21, 2023, Jul 19, 2019 (3 updates tracked since 2019).

About Katelyn Holsclaw Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN HOLSCLAW LCSW (NPI 1174176077) is an individual clinical provider in Park Ridge, Illinois and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mccordsville.

NPPES Registry Identity

NPI1174176077
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATELYN HOLSCLAWCredential: LCSW
Location Address1440 RENAISSANCE DR STE 320Park Ridge, IL 60068-1471
Mailing Address1600 Partridge WayChesterton, IN 46304-3155 · (219) 921-9519
Phone(219) 921-9519
Sole ProprietorYes
Enumeration DateJuly 19, 2019
Last NPPES UpdateMarch 22, 20233 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
✔ NPI 1174176077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1440 RENAISSANCE DR STE 320, Park Ridge, IL 60068
Open in Google Maps ↗

Secondary Practice Location 1

Location 16246 W Broadway Ste 200McCordsville, IN 46055-9572 · Phone (317) 253-7387

Other Identifiers 1

Other34007167AIN · Professional Licensing Agency Behavioral Health Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Holsclaw Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Katelyn Holsclaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Onhealthcare LLC
173 mi
Social Worker
8425 WOODFIELD CROSSING BLVD STE 100
Indianapolis, IN 46240
  • Reassigned Medicare billing, Indiana enrollment
  • 101 clinicians in this Medicare group
NPI 1114681681 (502) 244-2420
Grow Healthcare Group PA
1,203 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Indiana enrollment
  • 417 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NICKOLETA MERKOURIS PSYD
Psychologist
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
MEGAN PANICI LCSW
Social Worker (Clinical)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
GABRIEL JARA-ALMONTE EDWARDS LCSW
Social Worker (Clinical)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
NICOLE VARVAREZOS LSW
Social Worker
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
PAUL EDWARDS PMHNP
Registered Nurse (Psychiatric/Mental Health)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
MS. JANETTE M. DINGEE LCPC
Counselor (Mental Health)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
ERICA L HUNGERFORD LCPC
Counselor (Professional)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (872) 356-6150
MR. GARRETT RUSSELL PLUHAR-SCHAEFFER LCSW
Social Worker (Clinical)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (212) 212-1214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Holsclaw's NPI number?

The NPI number for Katelyn Holsclaw is 1174176077. It was assigned to this individual provider in the NPPES registry on July 19, 2019.

Where is Katelyn Holsclaw located?

Katelyn Holsclaw practices at 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068. The listed phone number is (219) 921-9519.

What is Katelyn Holsclaw's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Katelyn Holsclaw enrolled in Medicare?

Yes. Katelyn Holsclaw is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katelyn Holsclaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Holsclaw reassigns Medicare benefits to 2 organizations: Onhealthcare LLC (Indianapolis, IN) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Holsclaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Holsclaw accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Katelyn Holsclaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katelyn Holsclaw was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.