Active NPI
Amy N Haffey, LCSW
- Clinical Social Worker
- Ocean Springs, MS
National Provider Identifier
1003126608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C8806
- Practice address
- 2112 Bienville Blvd Ste M1
Ocean Springs, MS 39564-3027 - Phone
- (616) 826-4800
- NPI assigned
- Oct 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S.0800795 | OH | |
| Clinical Social Worker | 1041C0700X | C8806 | MS | Primary |
Addresses
Primary practice location
2112 Bienville Blvd Ste M1
Ocean Springs, MS 39564-3027
Mailing address
15220 Highway 57
Vancleave, MS 39565-6643
Phone (616) 826-4800
Other practice location 1
3216 Oakleigh Cir
Ocean Springs, MS 39564-5860
Phone (616) 826-4800
Other practice location 2
3009 Oakleigh Cir
Ocean Springs, MS 39564-5858
Phone (616) 826-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0268768 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C8806 | MS | MD | Clinical Social Worker |
| S.0800795 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1003126608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15220 HIGHWAY 57",
"city": "VANCLEAVE",
"state": "MS",
"postal_code": "395656643",
"telephone_number": "616-826-4800",
"fax_number": "888-887-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 BIENVILLE BLVD STE M1",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395643027",
"telephone_number": "616-826-4800"
}
],
"practiceLocations": [
{
"address_1": "3216 Oakleigh Cir",
"address_purpose": "LOCATION",
"city": "Ocean Springs",
"state": "MS",
"postal_code": "395645860",
"country_code": "US",
"telephone_number": "616-826-4800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3009 Oakleigh Cir",
"address_purpose": "LOCATION",
"city": "Ocean Springs",
"state": "MS",
"postal_code": "395645858",
"country_code": "US",
"telephone_number": "616-826-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAFFEY",
"first_name": "AMY",
"middle_name": "N",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.0800795",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C8806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0268768",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.