Individual provider Active NPI

Hollie Hundley McDaniel, LCSW

  • Clinical Social Worker
  • Jennings, LA
National Provider Identifier
1942553425
Registry record updated Oct 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4726
Practice address
422 Kade St
Suite 4
Jennings, LA 70546-3657
Phone
(337) 616-3482
Fax
(337) 616-9399
NPI assigned
Oct 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4726 Primary

Addresses

Primary practice location

422 Kade St
Suite 4
Jennings, LA 70546-3657

Mailing address

422 Kade St
Suite 4
Jennings, LA 70546-3657
Phone (337) 616-3482

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Shadows of Jennings, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350691200000",
    "number": "1942553425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 KADE ST",
            "address_2": "SUITE 4",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463657",
            "telephone_number": "337-616-3482",
            "fax_number": "337-616-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 KADE ST",
            "address_2": "SUITE 4",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463657",
            "telephone_number": "337-616-3482",
            "fax_number": "337-616-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "HOLLIE",
        "middle_name": "HUNDLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-20",
        "last_updated": "2012-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "4726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.