MS. STACEY TYWANNA HAILEY


Address: 139 Three Hunts Dr, Pembroke, NC 28372-6800
Phone: 9102723220

MS. STACEY TYWANNA HAILEY (NPI# 1083866628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083866628
Entity Type Individual
Full Name MS. STACEY TYWANNA HAILEY
Practice Address 139 Three Hunts Dr
Pembroke
NC 28372-6800
Mailing Address 7841 Walters Rd
Laurel Hill
NC 28351-8947
Practice Telephone 9102723220
Mailing Telephone 9102723220
Enumeration Date 2008-10-15
Last Update Date 2013-09-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
0904007617 VA Behavioral Health & Social Service Providers

Office Location

Street Address 139 THREE HUNTS DR
City PEMBROKE
State NC
Zip Code 28372-6800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073828661 Andrea L Chappell Pharmacist 139 Three Hunts Dr, Pembroke, NC 28372 2010-08-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962977 Kayla J Oxendine Counselor 86 Threehunts Drive, Pembroke, NC 28372 2020-11-03
1720688401 Melissa Claire Kratz Pharmacist 930 Hwy 711 East, Pembroke, NC 28372 2020-10-30
1841775681 Nikki Locklear Counselor 86 Three Hunts Dr., Pembroke, NC 28372 2018-09-27
1043703218 Julie Anne Harrison-swartz Nurse Practitioner Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 2018-06-12
1134627508 William Dixon Specialist/Technologist One University Drive, Pembroke, NC 28372 2018-01-31
1740796291 A Primary Choice, Inc. In Home Supportive Care 208 Union Chapel Road, Suite D, Pembroke, NC 28372 2017-12-20
1578924130 William Joshua Johnson Nurse Practitioner 3334 Moss Neck Road, Pembroke, NC 28372 2016-03-10
1831560234 Sungjun Jung Pharmacist 930 Nc Hwy 711 E, Pembroke, NC 28372 2015-10-12
1154715027 Lilly Marie Shorter Counselor 86 Three Hunt Drive, Pembroke, NC 28372 2015-03-27
1487046728 Eye Heart You Home Health, LLC Public Health or Welfare 925 University Road, Pembroke, NC 28372 2015-02-24
Find all providers in zip 28372

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790034593 Mara D Hunt Social Worker 60 Commerce Plaza Cir, Pembroke, NC 28372-7386 2012-09-07
1770855389 Ryan Shirilla Social Worker 447 Deerpath Ln, Pembroke, NH 03275-3214 2012-01-30
1558659680 Rachel S Cohen Social Worker 20 Winter Street, Pembroke, MA 02359 2011-07-11
1790949907 Tammy Rocha Cetrino Social Worker 125 Church St Ste 90-104, Pembroke, MA 02359-1929 2008-07-16
1275717084 Elizabeth Zaccardi Social Worker 34 Mill St, Pembroke, MA 02359-3201 2007-12-28
1972710861 Susan Michelle Wilson Social Worker 24 Champion Way, Pembroke, MA 02359-2637 2007-05-17
1871705939 Recovery and Growth Counseling Social Worker 2 Columbia Road, Pembroke, MA 02360 2007-05-03
1912128463 Mary A Marek Social Worker 2 Columibia Road, Pembroke, MA 02359 2007-05-01
1265577258 Nicole Marie Macdonald Social Worker 122 Chapel St, Pembroke, MA 02359-3815 2007-02-20
1154431468 Janice Elaine Howard Social Worker 2 Columbia Rd Ste 8, Pembroke, MA 02359-1842 2006-08-30
Find all providers in PEMBROKE

Competitor

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City PEMBROKE
Zip Code 28372

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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