Provider Demographics
NPI:1487130431
Name:HOMAN, NANCY KRISTIN (LCSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:KRISTIN
Last Name:HOMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19386 POTTERS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-1181
Mailing Address - Country:US
Mailing Address - Phone:317-840-7657
Mailing Address - Fax:
Practice Address - Street 1:935 CONNER ST STE 212
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-2668
Practice Address - Country:US
Practice Address - Phone:317-840-7657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-12
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34010218A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN33008003AOtherLSW
IN34010218AOtherLCSW