Alyssa Haley, LCSW
Individual provider Active NPI Social Worker · Hudson, NY
NPI 1346902087 · NPPES record last updated Sep 13, 2022
Key facts
- NPI
- 1346902087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 01-104499 (NY)
- Practice address
- 430 E Allen St
Hudson, NY 12534-2576 - Phone
- (516) 467-7344
- NPI assigned
- Oct 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ajs Mental Health Counseling PLLC
Practice addresses (Care Compare)
430 E Allen St
Hudson, NY 12534-2576
Phone (518) 610-8449
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241218003685 | NY | Practitioner - Clinical Social Worker | 9234666900 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-104499 | NY | MD | Social Worker |
| 092755 | NY | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ajs Mental Health Counseling, PLLC | Current |
Accepting new patients | |
| Tri-State Psychotherapy Group LLC | Past | Accepting new patients | |
| Tanya D Mays MD PLLC | Past | Accepting new patients |
Locations
436 Union St
Hudson, NY 12534
Interoperability endpoints
- https://api.platform.athenahealth.com/9716/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 01-104499 | NY | Yes |
Addresses
Primary practice location
430 E Allen St
Hudson, NY 12534-2576
Mailing address
67 Payn Ave
Chatham, NY 12037-1428
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.simplepractice.com/?utm_source=google&utm_medium=cpc&utm_campaign=rc-search-brand-exact&utm_term=simple%20practice&gclid=EAIaIQobChMIoIfUmtHC8wIVivOzCh15mwjlEAAYASAAEgIDjPD_BwE | Direct | AJS Mental Health Counseling |
Other providers in Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.