Active NPI
Christine M Haley, LICSW
- Clinical Social Worker
- Pittsfield, MA
National Provider Identifier
1821137902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1024377
- Practice address
- 333 East St
Brien Center
Pittsfield, MA 01201-5312 - Phone
- (413) 499-0412
- Fax
- (413) 499-0995
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1024377 | MA | Primary |
Addresses
Primary practice location
333 East St
Brien Center
Pittsfield, MA 01201-5312
Mailing address
180 Elm St
Suite I PMB 235
Pittsfield, MA 01201-6500
Phone (413) 243-1093
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1024377 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821137902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 ELM ST",
"address_2": "SUITE I PMB 235",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016500",
"telephone_number": "413-243-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 EAST ST",
"address_2": "BRIEN CENTER",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012015312",
"telephone_number": "413-499-0412",
"fax_number": "413-499-0995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "CHRISTINE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1024377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
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.