Individual provider Active NPI

Holly Karen Klein, L.S.C.S.W.

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1184617896
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2305 Issued in KS
Practice address
10965 Granada Lane
Ste. 102
Overland Park, KS 66211-1412
Phone
(913) 645-5994
Fax
(913) 469-4242
NPI assigned
Aug 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2305 KS Primary
Clinical Social Worker 1041C0700X 2002030421 MO

Addresses

Primary practice location

10965 Granada Lane
Ste. 102
Overland Park, KS 66211-1412

Mailing address

10965 Granada Lane
Ste. 102
Overland Park, KS 66211-1412
Phone (913) 645-5994

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2002030421MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1125100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1184617896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10965 GRANADA LANE",
            "address_2": "STE. 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111412",
            "telephone_number": "913-645-5994",
            "fax_number": "913-469-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10965 GRANADA LANE",
            "address_2": "STE. 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111412",
            "telephone_number": "913-645-5994",
            "fax_number": "913-469-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "HOLLY",
        "middle_name": "KAREN",
        "credential": "L.S.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-27",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2305",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2002030421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.