Individual provider Active NPI

Haley M Paperd, LLMSW

  • Clinical Social Worker
  • Macomb, MI
National Provider Identifier
1619440765
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851105712 Issued in MI
Practice address
17937 Hall Rd
Macomb, MI 48044-4557
Phone
(586) 255-0499
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851105712 MI Primary

Addresses

Primary practice location

17937 Hall Rd
Macomb, MI 48044-4557

Mailing address

24301 Coolidge Hwy
Oak Park, MI 48237-1696
Phone (586) 291-6653

Other practice location 1

30000 Hiveley St
Inkster, MI 48141
Phone (734) 728-3400

Other practice location 2

4625 2nd Ave Apt 408
Detroit, MI 48201-1269
Phone (586) 291-6653

Other practice location 3

79 W Alexandrine St
Detroit, MI 48201-2015
Phone (313) 831-5535

Other practice location 4

79 W Alexandrine St
Detroit, MI 48201-2015
Phone (313) 831-5535

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

LicenseStateTypeSpecialty
6851105712MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1619440765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371696",
            "telephone_number": "586-291-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17937 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444557",
            "telephone_number": "586-255-0499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30000 Hiveley St",
            "address_purpose": "LOCATION",
            "city": "Inkster",
            "state": "MI",
            "postal_code": "48141",
            "country_code": "US",
            "telephone_number": "734-728-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4625 2nd Ave Apt 408",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482011269",
            "country_code": "US",
            "telephone_number": "586-291-6653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 W Alexandrine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012015",
            "country_code": "US",
            "telephone_number": "313-831-5535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 W Alexandrine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012015",
            "country_code": "US",
            "telephone_number": "313-831-5535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPERD",
        "first_name": "HALEY",
        "middle_name": "M",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851105712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.