Wendy Rebecca Hollady, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1280 Kissimmee St
Tallahassee, FL 32310-0212

Phone

(850) 575-3140

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1003989930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N RIDE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035159",
            "telephone_number": "850-508-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 KISSIMMEE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323100212",
            "telephone_number": "850-575-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADY",
        "first_name": "WENDY",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Edward Warren Holifield, M.D.
• Diane S Holladay, APRN-C
• Charles Jackson Holland, M.D.
• Gabrielle Holland
• Jemirah Helena Holland, M.S.W.
• Daniel Leighton Hollar, PH.D.
• Dorothy Jean Holley, LCSW

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.