K. Janel Holland, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003687 Issued in GA

Practice address

1801 Gloucester St
Suite C-103
Brunswick, GA 31520-6934

Phone

(912) 275-8594

NPI assigned

Nov 9, 2007

Last updated

Apr 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Coastal Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Brunswick, GA
  • NPI 1609298751
  Medicare reassignment NPD
• Power for Living Enterprises, LLC

  • Clinical Social Worker
  • Brunswick, GA
  • NPI 1053006577
  Medicare reassignment NPD
• Coastal Community Health Services, Inc.

  dba Coastal Community Health County Clinic

  • Federally Qualified Health Center (FQHC)
  • Brunswick, GA
  • NPI 1063282937
  NPD
• Coastal Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richmond Hill, GA
  • NPI 1821779570
  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1821278516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3175",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315213175",
            "telephone_number": "912-275-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GLOUCESTER ST",
            "address_2": "SUITE C-103",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206934",
            "telephone_number": "912-275-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "K. JANEL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CSW003687",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Hirsch, AGACNP-BC
• Demere Rae Hobby
• Chadwick Ryan Hodges, FNP-C
• John M Hoeffner, BS DC BCAO
• Connie S Holcomb, CCC/SLP
• Robert E Holland, M.D.
• Oriana Hollingsworth Boyles, MD
• Latronya Hollingsworth, LCSW
• Virginia Elizabeth Holm, LCSW
• Ashley Holmes

• Clinical Social Worker in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.