Individual provider Active NPI

Hailee Fern Lauritzen, DHSC, MSW, LSW

  • Social Worker
  • Terre Haute, IN
National Provider Identifier
1164160941
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
6401 S US Highway 41
Terre Haute, IN 47802-4749
Phone
(812) 299-1156
Fax
(812) 298-3109
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

6401 S US Highway 41
Terre Haute, IN 47802-4749

Mailing address

6401 S US Highway 41
Terre Haute, IN 47802-4749
Phone (812) 299-1156

Other names 1

  • Ms. Hailee Fern Davis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hailee.lauritzen@gibault.org Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1164160941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 S US HIGHWAY 41",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024749",
            "telephone_number": "812-299-1156",
            "fax_number": "812-298-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 S US HIGHWAY 41",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024749",
            "telephone_number": "812-299-1156",
            "fax_number": "812-298-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURITZEN",
        "first_name": "HAILEE",
        "middle_name": "FERN",
        "name_prefix": "Dr.",
        "credential": "DHSC, MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hailee.lauritzen@gibault.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6401 S US Highway 41",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478024749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HAILEE",
            "last_name": "DAVIS",
            "middle_name": "FERN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.