Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Evan Jonathan Holcomb, LCSW

Individual provider Social Worker · NPI 1265818520

Mr. Evan Jonathan Holcomb, LCSW is a Clinical Social Worker in Prestonsburg, Kentucky. Qualified in 2014, 12 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Licensed in
KY
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

104 S Frnt Ave
Prestonsburg, KY 41653-1614
Phone: (606) 886-8572
Fax: (606) 886-4433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1925 Frederica St Ste 200, Owensboro, KY 42301-4818 — (270) 926-2484

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 253263 (KY)
Social Worker Taxonomy 104100000X · Licence 7296 (KY)

Record details

NPI number1265818520
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 9, 2015
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Prestonsburg