Fawn M Holland, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5 Court St
Suite 42, County Office Building
Norwich, NY 13815-1695

Phone

(607) 337-1600

Fax

(607) 334-4519

NPI assigned

Jul 2, 2009

Last updated

Mar 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Fawn M Koch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: fholland@ccbhs.medentdirect.com

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1013146638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 E AFTON RD",
            "city": "BAINBRIDGE",
            "state": "NY",
            "postal_code": "137332203",
            "telephone_number": "607-967-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COURT ST",
            "address_2": "SUITE 42, COUNTY OFFICE BUILDING",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151695",
            "telephone_number": "607-337-1600",
            "fax_number": "607-334-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "FAWN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAWN",
            "last_name": "KOCH",
            "middle_name": "M",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David William Harvey, OCCUPATIONAL THERAPI
• Margaret Ann Hayes, MD
• James Matthew Herzog, O.T.
• Susan Hills, LPN
• Emily Hodack
• Grace D Holmes, M.D.
• Thomas R Holmes, M.D.
• Linda J Horovitz, AU.D., FAAA
• Michelle Ruth Horton-Benenati, M.A., CCC-SLP
• Hospice of Chenango County, Inc. (Hospice & Palliative Care of Chenango County)

• Clinical Social Worker in Norwich, NY
• Providers in Norwich, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.