Individual provider Active NPI

Carolyn Diane Haney, MSW

  • Clinical Social Worker
  • Laramie, WY
National Provider Identifier
1871756965
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-426 Issued in WY
Practice address
1050 N 3Rd St
Suite B1
Laramie, WY 82072-2544
Phone
(307) 742-4769
Fax
(307) 742-6702
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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 LCSW-426 WY Primary

Addresses

Primary practice location

1050 N 3Rd St
Suite B1
Laramie, WY 82072-2544

Mailing address

1308 Steele St
Laramie, WY 82070-4725
Phone (307) 745-3706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20240304001590 NE Practitioner - Clinical Social Worker 3678918398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wholeness Healing Center PCGroup PAC ID 3173571320, 13 clinicians

Practice addresses (Care Compare)

2608 Old Fair Rd
Grand Island, NE 68803-5271
Phone 3083825297211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-426WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wholeness Healing Center PC CurrentSince Mar 1, 2024 Accepting new patients
Alliance for Growth Past Accepting new patients

Locations

2608 Old Fair Rd
Grand Island, NE 68803
Phone (308) 382-5297

Organizations & group practices 2

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1871756965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 STEELE ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704725",
            "telephone_number": "307-745-3706",
            "fax_number": "307-742-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N 3RD ST",
            "address_2": "SUITE B1",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722544",
            "telephone_number": "307-742-4769",
            "fax_number": "307-742-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "CAROLYN",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.