Individual provider Active NPI

Emily Haley, ASW 124566

  • Clinical Social Worker
  • Rancho Santa Margarita, CA
National Provider Identifier
1770154205
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124566 Issued in CA
Practice address
30451 Avenida de Las Flores Unit B
Rancho Santa Margarita, CA 92688-3953
Phone
(949) 529-6791
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

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 124566 CA Primary

Addresses

Primary practice location

30451 Avenida de Las Flores Unit B
Rancho Santa Margarita, CA 92688-3953

Mailing address

1207 E Fruit St
Santa Ana, CA 92701-4206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223003349 CA Practitioner - Clinical Social Worker 2365937687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1756 Royston Dr
San Diego, CA 92154-2853

30637 Hunt Club Dr
San Juan Capistrano, CA 92675-1913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124566CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuve Family Counseling, Inc. CurrentSince Nov 1, 2025 Accepting new patients

Locations

30451 Avenida de las Flores
Unit B
Rancho Santa Margarita, CA 92688
Phone (949) 342-5566

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": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764374400000",
    "number": "1770154205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 E FRUIT ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30451 AVENIDA DE LAS FLORES UNIT B",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883953",
            "telephone_number": "949-529-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "EMILY",
        "credential": "ASW 124566",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "124566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

Verify at the official NPI Registry.