Active NPI
Haley Courtney
- Clinical Social Worker
- Sparks, NV
National Provider Identifier
1538804489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9949-C
- Practice address
- 2125 Green Vista Dr Ste 106
Sparks, NV 89431-8515 - Phone
- (775) 622-8890
- NPI assigned
- May 4, 2022
- 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 | 92657 | CA | |
| Social Worker | 104100000X | ASW-92657 | CA | |
| Clinical Social Worker | 1041C0700X | 107565 | CA | |
| Clinical Social Worker | 1041C0700X | 9949-C | NV | Primary |
Addresses
Primary practice location
2125 Green Vista Dr Ste 106
Sparks, NV 89431-8515
Mailing address
2125 Green Vista Dr Ste 106
Sparks, NV 89431-8515
Phone (775) 622-8890
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 |
|---|---|---|---|
| ASW-92657 | CA | MD | Social Worker |
| 107565 | CA | MD | Clinical Social Worker |
| 92657 | CA | MD | Clinical Social Worker |
| 9949-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667088000000",
"number": "1538804489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 GREEN VISTA DR STE 106",
"city": "SPARKS",
"state": "NV",
"postal_code": "894318515",
"telephone_number": "775-622-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 GREEN VISTA DR STE 106",
"city": "SPARKS",
"state": "NV",
"postal_code": "894318515",
"telephone_number": "775-622-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTNEY",
"first_name": "HALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-04",
"last_updated": "2022-10-30",
"certification_date": "2022-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "92657",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW-92657",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "107565",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "9949-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.