Trecia Holdren, LISW-SUPR.
NPI 1063811024ActiveIndividual· Social Worker, Clinical· Newark, OH
Social Worker, Clinical (LISW-SUPR.) with Southeast Inc, practicing in Newark, Ohio. Enrolled in Medicare as practitioner - clinical social worker and practitioner - mental health counselor.
Overview
| NPI | 1063811024 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW-SUPR. |
| Sole proprietor | No |
| NPI issued | Aug 15, 2014 |
| Last updated in NPPES | Aug 15, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I-0008319-SUPR | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OH); Practitioner - Mental Health Counselor (OH) |
|---|
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Southeast IncDelaware, OH · 47 clinicians
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