Individual provider Active NPI

Haley Smith, LCSW

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1245914902
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06580000 Issued in NJ
Practice address
1878 Marlton Pike E Ste 2
Cherry Hill, NJ 08003-2090
Phone
(856) 375-2440
Fax
(303) 997-5001
NPI assigned
Jun 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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 44SC06580000 NJ Primary

Addresses

Primary practice location

1878 Marlton Pike E Ste 2
Cherry Hill, NJ 08003-2090

Mailing address

782 Rosevine LN
Erie, CO 80516-7064
Phone (856) 375-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20251217003994 NJ Practitioner - Clinical Social Worker 7719472752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

30 Edgehill Rd
Gibbsboro, NJ 08026-1410

782 Rosevine LN
Erie, CO 80516-7064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06580000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Psychotherapy and Counseling Clinical CurrentSince Nov 9, 2025 Accepting new patients
Jennifer L.K. Boiler LLC CurrentSince Nov 13, 2025 Accepting new patients

Locations

1878 Route 70 E
Ste 2
Cherry Hill, NJ 08003
Phone (856) 375-2440

Organizations & group practices 2

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": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1245914902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 ROSEVINE LN",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167064",
            "telephone_number": "856-375-2440",
            "fax_number": "303-997-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 MARLTON PIKE E STE 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032090",
            "telephone_number": "856-375-2440",
            "fax_number": "303-997-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HALEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06580000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.