Active NPI
Holly McMillian Klich, LCSW
- Clinical Social Worker
- Fort Rucker, AL
National Provider Identifier
1073641460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5247
- Practice address
- 301 Andrews Ave.
Fort Rucker, AL 36362-5333 - Phone
- (800) 261-7193
- Fax
- (334) 255-7710
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5247 | TN | Primary |
Addresses
Primary practice location
301 Andrews Ave.
Fort Rucker, AL 36362-5333
Mailing address
301 Andrews Ave.
Fort Rucker, AL 36362-5333
Phone (800) 261-7193
Other names 1
- Holly Beth McMillian
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5247 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1073641460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 ANDREWS AVE.",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "363625333",
"telephone_number": "800-261-7193",
"fax_number": "334-255-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 ANDREWS AVE.",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "363625333",
"telephone_number": "800-261-7193",
"fax_number": "334-255-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLICH",
"first_name": "HOLLY",
"middle_name": "MCMILLIAN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "5247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "MCMILLIAN",
"middle_name": "BETH",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Rucker, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.