REBECCA M HOLMAN (LCSW) – Social Worker, NPI 1669519070
Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for REBECCA M HOLMAN (LCSW)
1800 COMMUNITY
CLINTON, MO 647358804
Phone:
Type: Mailing
1450 E 10TH ST
ROLLA, MO 654013648
Phone: (844) 853-8937
Type: Location
2707, Browns Lane, Jonesboro, Craighead County, Arkansas, 72401, United States
JONESBORO, AR 724017213
Phone: (870) 972-4961
Fax: (870) 972-4088
Type: Mailing
2707 Browns Ln
Jonesboro, AR 724017213
Phone: (870) 972-4961
Fax: (870) 972-4088
Type: Location
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: 2022-05-05
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20151028001048 | I | Clinical Social Worker | AR | TBD |
| I20220505002582 | I | Clinical Social Worker | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 23 | 23 | $0 |
Insurance plans in this area (ZIP 64735)
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Group practice members
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