MR. EVAN JONATHAN HOLCOMB (LCSW) – Clinical Social Worker, NPI 1265818520
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,212 CLINICAL SOCIAL WORKER in KY
Provider Addresses for MR. EVAN JONATHAN HOLCOMB (LCSW)
300 HOPE ST
MT WASHINGTON, KY 400477757
Phone: (502) 538-1000
Fax: (502) 538-1100
Type: Mailing
1925 FREDERICA ST STE 200
OWENSBORO, KY 423014818
Phone: (270) 926-2484
Fax: (270) 685-6015
Type: Location
1925 Frederica St Ste 200
Owensboro, KY 423014818
Phone: (270) 926-2484
Fax: (270) 685-6015
Type: Location
104 S FRONT AVE
PRESTONSBURG, KY 416531614
Phone: (606) 886-8572
Fax: (606) 886-4433
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-06
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181102001152 | I | Clinical Social Worker | KY | TBD |
| I20260206003779 | I | Clinical Social Worker | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40047)
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