Holly L. Miner, LCSW.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801064443 Issued in MI

Practice address

806 S. Otsego, Gaylord Cboc
Aleda E. Lutz Dept. of Veterans Affairs
Gaylord, MI 49735-1725

Phone

(989) 732-7525

Fax

(989) 732-6577

NPI assigned

Feb 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Holly L. Furgeson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1124442207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 S. OTSEGO, GAYLORD CBOC",
            "address_2": "ALEDA E. LUTZ DEPT. OF VETERANS AFFAIRS",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351725",
            "telephone_number": "989-732-7525",
            "fax_number": "989-732-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S. OTSEGO, GAYLORD CBOC",
            "address_2": "ALEDA E. LUTZ DEPT. OF VETERANS AFFAIRS",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351725",
            "telephone_number": "989-732-7525",
            "fax_number": "989-732-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "HOLLY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801064443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "FURGESON",
            "middle_name": "L.",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher D Milan, DO
• Kiley Brianne Miller
• Kristena Miller
• Larry Leroy Miller, RPH
• David Weston Miner, M.D.
• Emma Mitchell
• Keith Y Miyamoto, M.D.
• MLD Supervision & Therapy, LLC
• Taylor Moeggenerg
• John David Moffat, M.D.

• All providers in Gaylord, MI
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.