Nina Rose Haley, LSW ILLINOIS is a
Social Worker - Clinical based in Chicago, Illinois. Nina Rose Haley is licensed to practice in Illinois (license number 149026812) and her current practice location is
2600 S Michigan Ave Ste 104, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 405-6326.
NPI number for Nina Rose Haley is 1164161097 and her current mailing address is 2600 S Michigan Ave Ste 104, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164161097.
Healthcare Provider's Profile
| Full Name | Nina Rose Haley |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2600 S Michigan Ave Ste 104, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164161097
- Provider Enumeration Date: 05/31/2022
- Last Update Date: 04/26/2024
Medical Identifiers
Medical identifiers for Nina Rose Haley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164161097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149026812 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nina Rose Haley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nina Rose Haley, LSW ILLINOIS
2600 S Michigan Ave Ste 104,
Chicago, IL 60616-2857
Ph: () - | Nina Rose Haley, LSW ILLINOIS
2600 S Michigan Ave Ste 104,
Chicago, IL 60616-2857
Ph: (312) 405-6326 |
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