Haley Marie Wuerth

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801104749 Issued in MI

Practice address

12200 E 13 Mile Rd Ste 200
Warren, MI 48093-3093

Phone

(586) 573-1830

Fax

(586) 573-2121

NPI assigned

Jun 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wuerth Care Psychodynamic Therapy, LLC

  • Clinical Social Worker
  • Ferndale, MI
  • NPI 1700532710
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1982265773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 E 13 MILE RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933093",
            "telephone_number": "586-573-1830",
            "fax_number": "586-573-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 E 13 MILE RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933093",
            "telephone_number": "586-573-1830",
            "fax_number": "586-573-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUERTH",
        "first_name": "HALEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6801104749",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Warren",
            "affiliation": "N",
            "address_1": "12200 E 13 Mile Rd Ste 200",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480933093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Wright
• Tashima Wright
• Samantha Lynn Wrobel
• Wan-Ju Wu, A.C.N.P.
• Kristen E Wuckert, MD
• Shellie Wyatt
• Elaine P Wynter, CRNA
• Jessica Wywierowski, MACCCSLP
• Luna Xiong
• Mai Shoua Xiong, NP-C

• Clinical Social Worker in Warren, MI
• Providers in Warren, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.