Haley B Llewellyn, RCSWI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW20464 Issued in FL

Practice address

2898 Mahan Dr Ste 5
Tallahassee, FL 32308-5462

Phone

(850) 552-0691

Fax

(850) 656-8969

NPI assigned

Jun 6, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Holly Schilling

  • Clinical Psychologist
  • Tallahassee, FL
  • NPI 1598295560
  NPD (past)

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1356182828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2898 MAHAN DR STE 5",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085462",
            "telephone_number": "850-552-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2898 MAHAN DR STE 5",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085462",
            "telephone_number": "850-552-0691",
            "fax_number": "850-656-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLEWELLYN",
        "first_name": "HALEY",
        "middle_name": "B",
        "credential": "RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW20464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living the Dream 63 LLC
• Kerria Livingston
• Dominick John Livoti III
• Livwell Homecare LLC
• Ernesto Llerena, DMD
• Tamalia Elfrida Lloyd, PHARMD
• Karen Faircloth Lockard, LCSW
• Virginia Leanne Lockey, AGACNP-BC
• Aaliyah Lockhart
• Alexander Edward Loeb, M.D.

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.