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BROOKE HOLCOMB LISW
NPI 1407638455
Social Worker - Clinical in Delaware, OH

Active since October 16, 2023Opted out of Medicare · through Jan 21, 2027
3402 OLENTANGY RIVER RD, DELAWARE, OH 43015(614) 580-9193 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2024, Oct 16, 2023 (2 updates tracked since 2023).

About Brooke Holcomb Lisw NPPES

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

BROOKE HOLCOMB LISW (NPI 1407638455) is an individual clinical provider in Delaware, Ohio, licensed in Ohio (I.1800785) and active in the NPI registry since October 2023. She has opted out of Medicare through January 21, 2027.

NPPES Registry Identity

NPI1407638455
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBROOKE HOLCOMBCredential: LISW
Location Address3402 OLENTANGY RIVER RDDelaware, OH 43015-8815
Mailing Address3402 Olentangy River RdDelaware, OH 43015-8815 · (740) 564-3491
Phone(614) 580-9193
Sole ProprietorYes
Enumeration DateOctober 16, 2023
Last NPPES UpdateSeptember 6, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1407638455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.1800785
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.
3402 OLENTANGY RIVER RD, Delaware, OH 43015
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brooke Holcomb Lisw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 21, 2025 through January 21, 2027.

Opt-Out Effective DateJanuary 21, 2025
Opt-Out In Effect ThroughJanuary 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Brooke Holcomb's NPI number?

The NPI number for Brooke Holcomb is 1407638455. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Brooke Holcomb located?

Brooke Holcomb practices at 3402 Olentangy River Rd, Delaware, OH 43015. The listed phone number is (614) 580-9193.

What is Brooke Holcomb's specialty?

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

Is Brooke Holcomb enrolled in Medicare?

No. Brooke Holcomb has opted out of Medicare through January 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brooke Holcomb was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.