Laurie Holland-Klein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

743 Issued in AK

Practice address

600 3Rd St
Ste 200
Fairbanks, AK 99701-3511

Phone

(907) 388-4689

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Birch Grove Counseling LLC

  • Clinical Social Worker
  • Keizer, OR
  • NPI 1164727954
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1164591681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 3RD ST",
            "address_2": "SUITE 200",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013511",
            "telephone_number": "907-388-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 3RD ST",
            "address_2": "STE 200",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013511",
            "telephone_number": "907-388-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND-KLEIN",
        "first_name": "LAURIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "743",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Hoger
• Dennis Edward Hojna, LCSW
• Misty Lynne Holacka, FNP
• Karyn Holder, RN
• Sylvia Holiday
• Haley C Holland
• Alison D Holleman, LMSW
• Jaida Nichole Hollenbeck
• Josephine Hollens
• Andrea Louise Hollingsworth

• Clinical Social Worker in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.