Active NPI
Parey G Haines, LSW
- Clinical Social Worker
- Wilmington, OH
National Provider Identifier
1003330648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S-1701048
- Practice address
- 953 S South St
Wilmington, OH 45177-2921 - Phone
- (937) 383-4441
- Fax
- (937) 383-2916
- NPI assigned
- Jul 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S-1701048 | OH | Primary |
Addresses
Primary practice location
953 S South St
Wilmington, OH 45177-2921
Mailing address
204 Cook Rd Ste 400
Lebanon, OH 45036-9600
Phone (513) 228-7800
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 |
|---|---|---|---|
| S-1701048 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talbert House | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cincinnati, OH
- NPI 1619900834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1003330648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 COOK RD STE 400",
"city": "LEBANON",
"state": "OH",
"postal_code": "450369600",
"telephone_number": "513-228-7800",
"fax_number": "513-725-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "953 S SOUTH ST",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451772921",
"telephone_number": "937-383-4441",
"fax_number": "937-383-2916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "PAREY",
"middle_name": "G",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S-1701048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.