Active NPI
Hailey N. Anderegg
- Social Worker
- Wooster, OH
National Provider Identifier
1609496280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2005525
- Practice address
- 2000 Noble Dr
Wooster, OH 44691-5353 - Phone
- (330) 264-3232
- Fax
- (330) 264-3879
- NPI assigned
- Apr 23, 2020
- Last updated
- Aug 30, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.162673 | OH | |
| Social Worker | 104100000X | S.2005525 | OH | Primary |
| Clinical Social Worker | 1041C0700X | S.2005525 | OH | |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
2000 Noble Dr
Wooster, OH 44691-5353
Mailing address
700 Trabar Drive
Springs 22
Saint Clairsville, OH 43950
Phone (484) 767-6199
Other practice location 1
4697 Harrison St
Bellaire, OH 43906-1338
Phone (740) 282-4231
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 |
|---|---|---|---|
| CDCA.162673 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.2005525 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Network | Past | Accepting new patients |
Organizations & group practices 1
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": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1609496280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 TRABAR DRIVE",
"address_2": "SPRINGS 22",
"city": "SAINT CLAIRSVILLE",
"state": "OH",
"postal_code": "43950",
"telephone_number": "484-767-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NOBLE DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446915353",
"telephone_number": "330-264-3232",
"fax_number": "330-264-3879"
}
],
"practiceLocations": [
{
"address_1": "4697 Harrison St",
"address_purpose": "LOCATION",
"city": "Bellaire",
"state": "OH",
"postal_code": "439061338",
"country_code": "US",
"telephone_number": "740-282-4231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDEREGG",
"first_name": "HAILEY",
"middle_name": "N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.162673",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2005525",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.2005525",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.