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ALISA ANN DAMHOLT LCSW
NPI 1639640824
Social Worker - Clinical in Richmond, IN

Active since December 16, 2018PECOS Enrolled
93.54/100
CMS Quality Rating
301 S 4TH ST, RICHMOND, IN 47374(505) 414-8665 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jun 8, 2023, Oct 20, 2020, Dec 16, 2018 (3 updates tracked since 2018).

About Alisa Ann Damholt Lcsw NPPES

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

ALISA ANN DAMHOLT LCSW (NPI 1639640824) is an individual clinical provider in Richmond, Indiana, licensed in Indiana (34010704A) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639640824
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALISA ANN DAMHOLTCredential: LCSW
Location Address301 S 4TH STRichmond, IN 47374-5407
Mailing Address301 S 4th StRichmond, IN 47374-5407
Phone(505) 414-8665
Sole ProprietorYes
Enumeration DateDecember 16, 2018
Last NPPES UpdateJune 27, 20263 updates tracked since enumeration
NPPES CertifiedJune 27, 2026
✔ NPI 1639640824 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 IN · 34010704A
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.
301 S 4TH ST, Richmond, IN 47374
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisa Ann Damholt 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47374 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.21
Promoting Interoperability100
Improvement Activities40
Cost63.83

Other Providers at the Same Location NPPES

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

INSIGHT CLINICAL PRACTICE LLC
Social Worker (Clinical)
301 S 4TH ST
RICHMOND, IN 47374
Wayne County (505) 414-8665

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 Alisa Damholt's NPI number?

The NPI number for Alisa Damholt is 1639640824. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Alisa Damholt located?

Alisa Damholt practices at 301 S 4th St, Richmond, IN 47374. The listed phone number is (505) 414-8665.

What is Alisa Damholt's specialty?

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

Is Alisa Damholt enrolled in Medicare?

Yes. Alisa Damholt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alisa Damholt was last updated on June 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.