Haley Elizabeth Mixson, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23170 Issued in MD

Practice address

1301 Piccard Dr FL 1
Rockville, MD 20850-4320

Phone

(240) 777-3000

NPI assigned

Mar 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: haley.mixsonlcswc.p1@direct.mcg-hhs.nextgenshare.com

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1508441999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PICCARD DR FL 1",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504320",
            "telephone_number": "240-777-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PICCARD DR FL 1",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504320",
            "telephone_number": "240-777-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXSON",
        "first_name": "HALEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "haley.mixson@montgomerycountymd.gov",
            "affiliation": "N",
            "address_1": "1301 Piccard Dr Fl 1",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208504320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ama Serwaa Mitchual
• Sriparna Mitra, M.D.
• Shama Ravi Mittal, M.D.
• Esther M Mittelman
• Archibald James Mixson, M.D.
• Glenn Yutaka Miyamoto, DDS
• Kayleigh Mize
• Maryam Y Mizrahi, M.D.
• Marc A Mizzer, D.C.
• Jaylen Mkandawire

• Clinical Social Worker in Rockville, MD
• Providers in Rockville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.