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

Trecia Holdren, LISW-SUPR

Individual provider Clinical Social Worker · NPI 1063811024

Trecia Holdren, LISW-SUPR is a Mental Health Counselor in Newark, Ohio. Qualified in 1994, 32 years ago. Practices with Southeast Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
32
Licensed in
OH
In the registry since
2014

Practice location Address checks out

65 Messimer Dr
Newark, OH 43055-1874 Not confirmed with CMS for 12 years — call before visiting
Phone: (740) 788-0337
Fax: (740) 788-3424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I-0008319-SUPR (OH)

Record details

NPI number1063811024
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-SUPR
Sole proprietorNo
NPI enumeratedAugust 15, 2014
Last updated in NPPESAugust 15, 2014

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Southeast Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Southeast Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 48 clinicians in the practice; 12 are shown here.

Other providers in Newark