Individual provider · Type 1 NPI

Stacey Tywanna Hailey

Clinical Social Worker · Pembroke, NC

NPI number 1083866628 Active

Practice location

139 Three Hunts Dr
Pembroke, NC 28372-6800

Mailing address

7841 Walters Rd
Laurel Hill, NC 28351-8947

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904007617 (VA)

Clinical Social Worker: 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 interpers…

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About NPI 1083866628

Stacey Tywanna Hailey's National Provider Identifier is 1083866628, issued on Oct 15, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pembroke, NC. The record was last updated on Sep 20, 2013.