Active NPI
Haley Elizabeth Isaacs, BSW, LSW, CDCA
- Social Worker
- Lafayette, LA
National Provider Identifier
1013698372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2309516
- Practice address
- 202 General Gardner Ave
Lafayette, LA 70501-7824 - Phone
- (740) 500-0484
- NPI assigned
- Jul 28, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2309516 | OH | Primary |
Addresses
Primary practice location
202 General Gardner Ave
Lafayette, LA 70501-7824
Mailing address
202 General Gardner Ave
Lafayette, LA 70501-7824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0428499 | 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 |
|---|---|---|---|
| S.2309516 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Group Home, LLC | Past | Accepting new patients | |
| Phoenix Group Home, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pathihc/r4/
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Portsmouth, OH
- NPI 1083146013
-
- Substance Abuse Rehabilitation Facility
- Cincinnati, OH
- NPI 1336654854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1013698372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 GENERAL GARDNER AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705017824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 GENERAL GARDNER AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705017824",
"telephone_number": "740-500-0484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "HALEY",
"middle_name": "ELIZABETH",
"credential": "BSW, LSW, CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2309516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0428499",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.