Haley Maryn Putin

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851116161 Issued in MI

Practice address

5359 Nobel Dr Unit 211
Fitchburg, WI 53711-4977

Phone

(608) 527-0929

NPI assigned

Nov 23, 2020

Last updated

Oct 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Summitacademy-Toledo

  • Local Education Agency (LEA)
  • Toledo, OH
  • NPI 1730373267
  NPD
• Moonkress Therapy and Consulting LLC

  • Clinical Social Worker
  • Madison, WI
  • NPI 1558015198
  NPD (past)
• Bloomfield Child & Family Counseling PLLC

  • Clinical Social Worker
  • Troy, MI
  • NPI 1720557093
  NPD (past)
• Saba Maroof MD PLLC

  • Child & Adolescent Psychiatry Physician
  • Troy, MI
  • NPI 1578404588
  NPD (past)
• Unison Behavioral Health Group, Inc.

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1952370561
  NPD (past)

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1689278400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5359 NOBEL DR UNIT 211",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537114977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5359 NOBEL DR UNIT 211",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537114977",
            "telephone_number": "608-527-0929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3290 W Big Beaver Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480842903",
            "country_code": "US",
            "telephone_number": "248-238-8702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTIN",
        "first_name": "HALEY",
        "middle_name": "MARYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "135851-121",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851116161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Project Dream Hope
• Promotion Fitness & Physical Therapy, LLC
• Thomas C Puchner Jr., MD
• Michelle Gigot Puent, MD
• Purple Aster Counseling & Wellness LLC
• Alyssa Catherine Quam, PA-C
• Abigail Quatmann
• Jill Phillips Quinn, OTR/L
• Quirt Family Dentistry, SC (Family Dental Care of Fitchburg)
• Kim S Racchini, LPN

• Social Worker in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.