MEDICARE: AMY HOLCOMB LISW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	I.2507459	OH

General Provider Information

NPI Number	:	1174230064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY HOLCOMB LISW

Provider Business Mailing Address
First Line	:	700 CHILDRENS DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2664
Country	:	US
Telephone Number	:	614-722-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	189 W SCHROCK RD
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2890
Country	:	US
Telephone Number	:	614-355-7500
Fax Number	:	614-355-7533

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2022
Last Update Date	:	06/15/2026

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Directions to “ AMY HOLCOMB LISW” Practice Location

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