Individual provider Active NPI

Haley H. Harrison, LCSWA

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1184971335
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008958 Issued in NC
Practice address
105 Vest Mill Cir
Winston Salem, NC 27103-2943
Phone
(336) 718-7800
Fax
(336) 718-7900
NPI assigned
Aug 7, 2012
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P007419 NC
Clinical Social Worker 1041C0700X C008958 NC Primary

Addresses

Primary practice location

105 Vest Mill Cir
Winston Salem, NC 27103-2943

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-7800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hharrison193143@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20141215000037 NC Practitioner - Clinical Social Worker 4385966720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C008958NCMDClinical Social Worker
P007419NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Daymark Recovery Services, Inc. Clinical CurrentSince Sep 23, 2014 Accepting new patients

Locations

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

940 W Lebanon St
Mount Airy, NC 27030
Phone (336) 783-6919

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1184971335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-718-7800",
            "fax_number": "336-718-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VEST MILL CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032943",
            "telephone_number": "336-718-7800",
            "fax_number": "336-718-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "HALEY",
        "middle_name": "H.",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007419",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hharrison193143@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "105 Vest Mill Cir",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271032943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.