Individual provider Active NPI

Haley Jenkins, LCSW

  • Clinical Social Worker
  • Abingdon, VA
National Provider Identifier
1497324354
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012923 Issued in VA
Practice address
610 Campus Dr
Abingdon, VA 24210-2589
Phone
(276) 525-1550
Fax
(276) 525-1609
NPI assigned
Jun 23, 2021
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904012923 VA Primary

Addresses

Primary practice location

610 Campus Dr
Abingdon, VA 24210-2589

Mailing address

610 Campus Dr
Abingdon, VA 24210-2589
Phone (276) 525-1550

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.highlandscsb.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220624001093 VA Practitioner - Clinical Social Worker 5597144352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17507 Lee Hwy
Abingdon, VA 24210-7835
Phone (276) 525-6043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Community Services CurrentSince May 1, 2022 Accepting new patients
Blue Mountain Therapy, LLC CurrentSince Jan 17, 2025 Accepting new patients
Blue Mountain Therapy, LLC CurrentSince Jan 17, 2025 Accepting new patients

Locations

17507 Lee Hwy
Abingdon, VA 24210
Phone (276) 525-1338

610 Campus Dr
Abingdon, VA 24210
Phone (276) 525-1550

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1497324354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CAMPUS DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102589",
            "telephone_number": "276-525-1550",
            "fax_number": "276-525-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CAMPUS DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102589",
            "telephone_number": "276-525-1550",
            "fax_number": "276-525-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "HALEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.highlandscsb.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "610 Campus Dr",
            "city": "Abingdon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "242102589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.