Active NPI
Haley Hubbard, MSW, LCSW
- Clinical Social Worker
- Centennial, CO
National Provider Identifier
1891466470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469 - Phone
- (720) 735-7444
- Fax
- (720) 306-5502
- NPI assigned
- Sep 23, 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 | Primary |
Addresses
Primary practice location
6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469
Mailing address
1859 28TH St Apt 512
Denver, CO 80216-5276
Phone (314) 498-9692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Original Path Counseling, LLC | Clinical | Current | Accepting new patients |
Locations
6551 S Revere Pkwy
Ste 160
Centennial, CO 80111
Phone (720) 335-7444
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": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729382400000",
"number": "1891466470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1859 28TH ST APT 512",
"city": "DENVER",
"state": "CO",
"postal_code": "802165276",
"telephone_number": "314-498-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6551 S REVERE PKWY STE 160",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801116469",
"telephone_number": "720-735-7444",
"fax_number": "720-306-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "HALEY",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2024-10-20",
"certification_date": "2024-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.