Individual provider Active NPI

Haley Dawn Wilson, LCSW-A, LCAS-A

  • Clinical Social Worker
  • Waynesville, NC
National Provider Identifier
1942074919
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
131 Walnut St
Waynesville, NC 28786-3250
Phone
(828) 456-8604
NPI assigned
Nov 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-29243 NC
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

131 Walnut St
Waynesville, NC 28786-3250

Mailing address

155 Wilkinson Pass LN Apt 304
Waynesville, NC 28786-8939
Phone (980) 322-9323

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

LicenseStateTypeSpecialty
LCAS-29243NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Health Services, Inc. Past Accepting new patients
Meridian Behavioral Health Services Past Accepting new patients
Meridian Behavioral Health Services Past Accepting new patients
Meridian Behavioral Health Services, Inc. Past Accepting new patients
Meridian Behavioral Health Services, Inc Past Accepting new patients
Meridian Behavioral Health Services, Inc. Past Accepting new patients

Organizations & group practices 6

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": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1942074919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WILKINSON PASS LN APT 304",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287868939",
            "telephone_number": "980-322-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WALNUT ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863250",
            "telephone_number": "828-456-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HALEY",
        "middle_name": "DAWN",
        "credential": "LCSW-A, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-29243",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.