Individual provider Active NPI

Hailey Rojas, MED LCSW

  • Clinical Social Worker
  • Brunswick, GA
National Provider Identifier
1093166126
Registry record updated Jan 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005734 Issued in GA
Practice address
1610 Reynolds St
Brunswick, GA 31520-6731
Phone
(404) 797-5586
Fax
(912) 330-1016
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2017

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 CSW005734 GA Primary

Addresses

Primary practice location

1610 Reynolds St
Brunswick, GA 31520-6731

Mailing address

139 Altama Connector
363
Brunswick, GA 31525-1888
Phone (404) 797-5586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20170413002692 GA Practitioner - Clinical Social Worker 6002191848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Abide LLC Past Accepting new patients
Build and Restore, LLC PastSince Apr 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: haileyrojas@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484438400000",
    "number": "1093166126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ALTAMA CONNECTOR",
            "address_2": "363",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251888",
            "telephone_number": "404-797-5586",
            "fax_number": "912-330-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 REYNOLDS ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206731",
            "telephone_number": "404-797-5586",
            "fax_number": "912-330-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "HAILEY",
        "credential": "MED LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2017-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.