Active NPI
Meredith Lee Hailey, LCSW
- Clinical Social Worker
- Wake Forest, NC
National Provider Identifier
1609974526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C002354
- Practice address
- 120 Capcom Ave
Suite 101
Wake Forest, NC 27587 - Phone
- (919) 488-1444
- Fax
- (919) 488-1445
- NPI assigned
- Sep 21, 2006
- 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 | C002354 | NC | Primary |
Addresses
Primary practice location
120 Capcom Ave
Suite 101
Wake Forest, NC 27587
Mailing address
1502 W NC Highway 54
Suite 103
Durham, NC 27707-5571
Phone (919) 403-2122
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609974526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 W NC HIGHWAY 54",
"address_2": "SUITE 103",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075571",
"telephone_number": "919-403-2122",
"fax_number": "919-401-4993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CAPCOM AVE",
"address_2": "SUITE 101",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "27587",
"telephone_number": "919-488-1444",
"fax_number": "919-488-1445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAILEY",
"first_name": "MEREDITH",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C002354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.