Active NPI
Laura Elaine Haynes, LCSW
- Clinical Social Worker
- Cary, NC
National Provider Identifier
1336822717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CO16181
- Practice address
- 2000 Regency Pkwy Ste 255
Cary, NC 27518-8511 - Phone
- (704) 360-3637
- NPI assigned
- Aug 10, 2023
- Last updated
- Aug 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CO16181 | NC | Primary |
Addresses
Primary practice location
2000 Regency Pkwy Ste 255
Cary, NC 27518-8511
Mailing address
2000 Regency Pkwy Ste 255
Cary, NC 27518-8511
Phone (704) 360-3637
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2000 Regency Pkwy
Suite 255
Cary, NC 27518-8511
Phone (704) 360-3637
3625 N Elm St
Suite 130
Greensboro, NC 27455-2604
Phone (704) 360-3637
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO16181 | NC | MD | Clinical Social Worker |
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.
-
dba LifeStance Health
- Psychologist
- Mooresville, NC
- NPI 1447760871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1336822717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 REGENCY PKWY STE 255",
"city": "CARY",
"state": "NC",
"postal_code": "275188511",
"telephone_number": "704-360-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 REGENCY PKWY STE 255",
"city": "CARY",
"state": "NC",
"postal_code": "275188511",
"telephone_number": "704-360-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "LAURA",
"middle_name": "ELAINE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "CO16181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.