Individual provider Active NPI

Michael Haney, LCSW

  • Clinical Social Worker
  • Huntington, WV
National Provider Identifier
1467564997
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3485 Issued in KY
Practice address
800 20TH St
Huntington, WV 25703-1850
Phone
(304) 696-8700
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X DP00939800 WV
Clinical Social Worker 1041C0700X 3485 KY Primary

Addresses

Primary practice location

800 20TH St
Huntington, WV 25703-1850

Mailing address

3339 Pinehaven Dr
Ashland, KY 41101-4931
Phone (606) 923-8438

Other identifiers 5

IdentifierTypeStateIssuer
000000539976OtherANTHEM BCBS
610661987004OtherTRICARE
APPROVEDOtherLIFESYNCH/HUMANA
11754719OtherCAQH
7100280750MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.haney@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110531000314 KY Practitioner - Clinical Social Worker 7810174828 Reassigns benefits to 1 organization
I20190308001633 WV Practitioner - Clinical Social Worker 7810174828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 20TH St
Huntington, WV 25703-1850
Phone (304) 696-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00939800WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Dec 29, 2018 Accepting new patients
Pathways Inc CurrentSince May 7, 2017 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Dec 29, 2018 Accepting new patients
Pathways, Inc CurrentSince May 7, 2017 Accepting new patients
University Physicians & Surgeons, Inc Current Accepting new patients

Locations

3701 Landsdowne Dr
Ashland, KY 41102
Phone (606) 324-3005

201 22nd St
Ashland, KY 41101
Phone (606) 324-1141

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

800 20th St
Huntington, WV 25703
Phone (304) 696-8700

Interoperability endpoints

  • Direct secure messaging: michael.haney@marshall.cernerdirect.com

Organizations & group practices 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1467564997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3339 PINEHAVEN DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411014931",
            "telephone_number": "606-923-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 20TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031850",
            "telephone_number": "304-696-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00939800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000539976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "610661987004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFESYNCH/HUMANA",
            "identifier": "APPROVED",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11754719",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100280750",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.haney@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Dr Ste 3500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.