Active NPI
Monica J Haley
- Clinical Social Worker
- Conover, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P016995
- Practice address
- 2324 Ryan Dr
Conover, NC 28613-8314 - Phone
- (704) 458-9244
- NPI assigned
- Nov 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P016995 | NC | Primary |
Addresses
Primary practice location
2324 Ryan Dr
Conover, NC 28613-8314
Mailing address
2324 Ryan Dr
Conover, NC 28613-8314
Phone (704) 458-9244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241023000532 | NC | Practitioner - Clinical Social Worker | 2668905191 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19901 W Catawba Ave
Suite 102
Cornelius, NC 28031-4040
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P016995 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Therapeutic Services, Inc | Clinical | Current | Accepting new patients |
| Carolina Therapeutic Services, Inc | Current | Accepting new patients | |
| Thriveworks Clinical - North Carolina PC | Current | Accepting new patients |
Locations
119 SW Maynard Rd
Cary, NC 27511
Phone (919) 415-1112
19901 W Catawba Ave
Ste 102
Cornelius, NC 28031
Phone (804) 613-4812
1528 Union Rd
Gastonia, NC 28054
Phone (828) 758-1320
1528 Union Rd
Ste B
Gastonia, NC 28054
Phone (828) 758-1320
1781 Tate Blvd SE
Ste 202
Hickory, NC 28602
Phone (828) 328-4398
617 S Green St
Ste 300
Morganton, NC 28655
Phone (828) 433-8181
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1720247570
NC
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1881468197
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1558026971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2324 RYAN DR",
"city": "CONOVER",
"state": "NC",
"postal_code": "286138314",
"telephone_number": "704-458-9244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 RYAN DR",
"city": "CONOVER",
"state": "NC",
"postal_code": "286138314",
"telephone_number": "704-458-9244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "MONICA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P016995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conover, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.