Individual provider Active NPI

Hailey Elisabeth McDaniel Johnson, MSW, LCSW

  • Clinical Social Worker
  • Oologah, OK
National Provider Identifier
1245843564
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21856 Issued in OK
Practice address
12834 Old U.S. 169
Oologah, OK 74053
Phone
(918) 695-2059
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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 12978570-3502 UT
Clinical Social Worker 1041C0700X 21856 OK Primary

Addresses

Primary practice location

12834 Old U.S. 169
Oologah, OK 74053

Mailing address

12834 Old U.S. 169
Oologah, OK 74053

Other practice location 1

755 W Covell Rd Ste 100
Edmond, OK 73003-2381
Phone (405) 378-2727

Other names 1

  • Hailey Elisabeth Johnson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20251025000465 OK Practitioner - Clinical Social Worker 9739678228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Womens Health LLCGroup PAC ID 3476927740, 89 clinicians

Practice addresses (Care Compare)

755 W Covell Rd
Suite 100
Edmond, OK 73003-2381
Phone (405) 378-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21856OKMDClinical Social Worker
12978570-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Women'S Health, LLC CurrentSince Oct 13, 2025 Accepting new patients
Counseling and Behavioral Specialists of Oklahoma PastSince Aug 1, 2020 Accepting new patients
Bison Counseling PastSince Mar 20, 2025 Accepting new patients

Locations

755 W Covell Rd
Ste 100
Edmond, OK 73003
Phone (866) 620-9303

1105 SW 30th Ct
Moore, OK 73160
Phone (405) 378-4439

Organizations & group practices 3

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1245843564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12834 OLD U.S. 169",
            "city": "OOLOGAH",
            "state": "OK",
            "postal_code": "74053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12834 OLD U.S. 169",
            "city": "OOLOGAH",
            "state": "OK",
            "postal_code": "74053",
            "telephone_number": "918-695-2059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 W Covell Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730032381",
            "country_code": "US",
            "telephone_number": "405-378-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL JOHNSON",
        "first_name": "HAILEY",
        "middle_name": "ELISABETH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12978570-3502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "21856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILEY",
            "last_name": "JOHNSON",
            "middle_name": "ELISABETH",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oologah, OK

Sources for this page

Verify at the official NPI Registry.