Individual provider Active NPI

Hailey Matthys, LCSW

  • Clinical Social Worker
  • Plano, TX
National Provider Identifier
1982485975
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112479 Issued in TX
Practice address
2222 W Spring Creek Pkwy Ste 116
Plano, TX 75023-4508
Phone
(281) 993-3733
NPI assigned
Oct 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904015587 VA
Clinical Social Worker 1041C0700X 15735 SC
Clinical Social Worker 1041C0700X 112479 TX Primary

Addresses

Primary practice location

2222 W Spring Creek Pkwy Ste 116
Plano, TX 75023-4508

Mailing address

427 Pleasant Valley LN
Richardson, TX 75080-1871
Phone (507) 829-3597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC, MN, SC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240319004231 TX Practitioner - Clinical Social Worker 0345687836 Reassigns benefits to 1 organization
I20240405000147 DC Practitioner - Clinical Social Worker 0345687836 Reassigns benefits to 1 organization
I20240410001500 MN Practitioner - Clinical Social Worker 0345687836 Reassigns benefits to 1 organization
I20240410002185 SC Practitioner - Clinical Social Worker 0345687836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
112479TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Mar 7, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

3753 Howard Hughes Pkwy
Ste 200
Las Vegas, NV 89169
Phone (702) 919-6580

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1982485975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 PLEASANT VALLEY LN",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801871",
            "telephone_number": "507-829-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W SPRING CREEK PKWY STE 116",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234508",
            "telephone_number": "281-993-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHYS",
        "first_name": "HAILEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015587",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "15735",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "112479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.