Active NPI
Jennifer Mariah Haley
- Social Worker
- Columbus, GA
National Provider Identifier
1902420276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28900
- Practice address
- 3575 Macon Rd Ste 22
Columbus, GA 31907-8200 - Phone
- (706) 339-5928
- NPI assigned
- Jun 2, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 28900 | MN | Primary |
Addresses
Primary practice location
3575 Macon Rd Ste 22
Columbus, GA 31907-8200
Mailing address
1775 Spring Creek Lane
Billings, MT 59102
Phone (406) 373-3500
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 |
|---|---|---|---|
| 28900 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1902420276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 SPRING CREEK LANE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59102",
"telephone_number": "406-373-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 MACON RD STE 22",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319078200",
"telephone_number": "706-339-5928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "JENNIFER",
"middle_name": "MARIAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-02",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "28900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.