Active NPI
Stephen Haley, LCSW
- Clinical Social Worker
- New London, CT
National Provider Identifier
1972791176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 006549
- Practice address
- 41 Fair Harbour PL
New London, CT 06320-4710 - Phone
- (860) 437-6914
- Fax
- (860) 437-6920
- NPI assigned
- Oct 12, 2007
- Sex
- Male
- 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 | 006549 | CT | Primary |
Addresses
Primary practice location
41 Fair Harbour PL
New London, CT 06320-4710
Mailing address
41 Fair Harbour PL
New London, CT 06320-4710
Phone (860) 437-6914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006549 | Other | CT | CT L ICENSED SOCIAL WORKR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006549 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1972791176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 FAIR HARBOUR PL",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204710",
"telephone_number": "860-437-6914",
"fax_number": "860-437-6920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 FAIR HARBOUR PL",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204710",
"telephone_number": "860-437-6914",
"fax_number": "860-437-6920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "STEPHEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-12",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "006549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT L ICENSED SOCIAL WORKR",
"identifier": "006549",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.