Active NPI
Hailee Labrum
- Clinical Social Worker
- Lewisville, TX
National Provider Identifier
1184323537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110146
- Practice address
- 2300 Rockbrook Dr Ste a
Lewisville, TX 75067-8179 - Phone
- (940) 208-8888
- NPI assigned
- Feb 24, 2023
- Last updated
- Aug 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12309983-3501 | UT | |
| Clinical Social Worker | 1041C0700X | 110146 | TX | Primary |
Addresses
Primary practice location
2300 Rockbrook Dr Ste a
Lewisville, TX 75067-8179
Mailing address
2300 Rockbrook Dr Ste a
Lewisville, TX 75067-8179
Phone (940) 208-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12309983-3501 | UT | MD | Clinical Social Worker |
| 110146 | TX | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691884800000",
"number": "1184323537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 ROCKBROOK DR STE A",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750678179",
"telephone_number": "940-208-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 ROCKBROOK DR STE A",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750678179",
"telephone_number": "940-208-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABRUM",
"first_name": "HAILEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-24",
"last_updated": "2023-08-13",
"certification_date": "2023-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12309983-3501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "110146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.