Provider Demographics
NPI:1942321112
Name:HOLCOMB, CATHERINE RENEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:RENEE
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 E 86TH ST STE 44C
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1856
Mailing Address - Country:US
Mailing Address - Phone:317-649-8738
Mailing Address - Fax:317-342-5145
Practice Address - Street 1:1040 E 86TH ST STE 44C
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1856
Practice Address - Country:US
Practice Address - Phone:317-649-8738
Practice Address - Fax:317-342-5145
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX386211041C0700X
IN34007001A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical