Individual provider Active NPI

Haylie Schermerhorn, LICSW

  • Social Worker
  • Braintree, MA
National Provider Identifier
1710533310
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LICSW127656 Issued in MA
Practice address
439 Washington Street, FL 2
Braintree, MA 02184
Phone
(781) 718-2654
NPI assigned
Aug 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LICSW127656 MA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

439 Washington Street, FL 2
Braintree, MA 02184

Mailing address

439 Washington Street, FL 2
Braintree, MA 02184-4745
Phone (781) 718-2654

Other names 1

  • Haley Schermerhorn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Mental Health Center, Inc. CurrentSince Mar 27, 2024 Accepting new patients

Locations

1501 Washington St
Braintree, MA 02184
Phone (617) 745-2709

460 Quincy Ave
Quincy, MA 02169
Phone (617) 770-4000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1710533310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 WASHINGTON STREET, FL 2",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844745",
            "telephone_number": "781-718-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 WASHINGTON STREET, FL 2",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "02184",
            "telephone_number": "781-718-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERMERHORN",
        "first_name": "HAYLIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "LICSW127656",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "SCHERMERHORN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.