Individual provider Active NPI

Haley Elizabeth Greene, LCSW

  • Clinical Social Worker
  • King of Prussia, PA
National Provider Identifier
1073146999
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW20965 Issued in PA
Practice address
491 Allendale Rd Ste 320
King of Prussia, PA 19406-1432
Phone
(610) 544-2110
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 CW20965 PA Primary

Addresses

Primary practice location

491 Allendale Rd Ste 320
King of Prussia, PA 19406-1432

Mailing address

252 Iven Ave Apt 1B
St Davids, PA 19087-4923
Phone (610) 295-3280

Other practice location 1

3855 W Chester Pike Ste 160
Newtown Square, PA 19073-2304
Phone (888) 227-3898

Other names 1

  • Miss Haley Elizabeth Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20200421002139 PA Practitioner - Clinical Social Worker 1254761976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

3855 W Chester Pike
160 MLHC Women'S Emotional Wellness
Newtown Square, PA 19073-2304
Phone (484) 337-6310

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW20965PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychological PC CurrentSince Feb 17, 2020 Accepting new patients
Main Line Healthcare CurrentSince Dec 11, 2023 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

491 Allendale Rd
Ste 320
King of Prussia, PA 19406
Phone (267) 774-0300

120 Valley Green Ln
Ste 510
King of Prussia, PA 19406
Phone (484) 324-7100

491 Allendale Rd
Ste 322
Kng of Prussa, PA 19406
Phone (215) 805-4092

3855 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-6300

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1073146999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 IVEN AVE APT 1B",
            "city": "ST DAVIDS",
            "state": "PA",
            "postal_code": "190874923",
            "telephone_number": "610-295-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 ALLENDALE RD STE 320",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061432",
            "telephone_number": "610-544-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3855 W Chester Pike Ste 160",
            "address_purpose": "LOCATION",
            "city": "Newtown Square",
            "state": "PA",
            "postal_code": "190732304",
            "country_code": "US",
            "telephone_number": "888-227-3898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "HALEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW20965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "DAVIS",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.