Active NPI
Hailey Obrien
- Clinical Social Worker
- Leonardtown, MD
National Provider Identifier
1457018137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121878
- Practice address
- 23225 Hollywood Rd
Leonardtown, MD 20650-5804 - Phone
- (401) 572-6542
- NPI assigned
- Nov 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2873645 | MA | |
| Clinical Social Worker | 1041C0700X | 121878 | MA | Primary |
| Clinical Social Worker | 1041C0700X | |||
| Social Worker | 104100000X |
Addresses
Primary practice location
23225 Hollywood Rd
Leonardtown, MD 20650-5804
Mailing address
23225 Hollywood Rd
Leonardtown, MD 20650-5804
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Hobrien | ||
| Direct Messaging Address | hobrien@recoverycoa.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2873645 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1457018137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23225 HOLLYWOOD RD",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206505804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23225 HOLLYWOOD RD",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206505804",
"telephone_number": "401-572-6542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "HAILEY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "2873645",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "121878",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Hobrien",
"affiliation": "N",
"address_1": "23225 Hollywood Rd",
"city": "Leonardtown",
"state": "MD",
"country_code": "US",
"postal_code": "206505804",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hobrien@recoverycoa.com",
"affiliation": "N",
"address_1": "23225 Hollywood Rd",
"city": "Leonardtown",
"state": "MD",
"country_code": "US",
"postal_code": "206505804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.