Hayden Michael Nielsen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017918 Issued in NC

Practice address

2400 Crownpoint Executive Dr Ste 100
Charlotte, NC 28227-6726

Phone

(828) 680-0466

Fax

(910) 782-2026

NPI assigned

Jul 18, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Marguerita Blaker & Associates, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1659012789

  Clinical

  NPD

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1992430532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CROWNPOINT EXECUTIVE DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276726",
            "telephone_number": "828-680-0466",
            "fax_number": "910-782-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CROWNPOINT EXECUTIVE DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276726",
            "telephone_number": "828-680-0466",
            "fax_number": "910-782-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "HAYDEN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Lynn Nicol, PA-C
• Nicole Rist Collins, OD, PLLC
• Michael Francis Nido, PA-C
• Albert O Niedan, DDS
• Alicia Konneker Nielsen, PA-C
• Lucas Christopher Nielsen, MD
• Gary S Niess, MD
• Eric Patrice Sede Nietcho
• Rafael Nieto, MD
• Maria Nieves

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.