Active NPI
Haley Susan Challoner Miller, LCSW
- Clinical Social Worker
- Mequon, WI
National Provider Identifier
1871150888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9573-123
- Practice address
- 1655 W Mequon Rd
Mequon, WI 53092-3254 - Phone
- (262) 240-9744
- Fax
- (262) 240-9745
- NPI assigned
- May 24, 2019
- Last updated
- Oct 5, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 9573-123 | WI | Primary |
Addresses
Primary practice location
1655 W Mequon Rd
Mequon, WI 53092-3254
Mailing address
1655 W Mequon Rd
Mequon, WI 53092-3254
Phone (262) 240-9744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801061064 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9573-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1871150888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 W MEQUON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923254",
"telephone_number": "262-240-9744",
"fax_number": "262-240-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 W MEQUON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923254",
"telephone_number": "262-240-9744",
"fax_number": "262-240-9745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "HALEY",
"middle_name": "SUSAN CHALLONER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "9573-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801061064",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
- Jennifer R. Micke-Kopetsky, M.D.
- Midwest Orthopedic Specialty Hospital, LLC
- Midwest Rnfa Providers
- Roseann Marie Miller-Greis
- Brigid Grace Miller, MS, LMFT
- Kimberly Weber Miller, PT
- Lisa Ann Miller
- Taylor Jean Miller
- Milwaukee Center for Diagnostic Imaging LLC (Center for Diagnostic Imaging)
- Milwaukee Counseling Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.