Individual provider Active NPI

Haley Smith, CSW

  • Clinical Social Worker
  • Owensboro, KY
National Provider Identifier
1245077361
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258218 Issued in KY
Practice address
1326 W 9TH St
Owensboro, KY 42301-2028
Phone
(270) 240-1076
Fax
(270) 240-2054
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 258218 KY Primary

Addresses

Primary practice location

1326 W 9TH St
Owensboro, KY 42301-2028

Mailing address

1326 W 9TH St
Owensboro, KY 42301-2028
Phone (270) 240-1076

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

State licenses

LicenseStateTypeSpecialty
258218KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Connections, LLC Clinical CurrentSince Jul 21, 2024 Accepting new patients

Locations

1326 W 9th St
Owensboro, KY 42301
Phone (270) 240-1076

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1245077361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 W 9TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423012028",
            "telephone_number": "270-240-1076",
            "fax_number": "270-240-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 W 9TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423012028",
            "telephone_number": "270-240-1076",
            "fax_number": "270-240-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HALEY",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.