MEDICARE: HAYLEY KAPLAN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C013480	NC

General Provider Information

NPI Number	:	1164739009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYLEY KAPLAN LCSW

Provider Business Mailing Address
First Line	:	4236 LABRADOR DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-9746
Country	:	US
Telephone Number	:	919-210-3188
Fax Number	:

Provider Business Practice Location Address
First Line	:	4236 LABRADOR DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-9746
Country	:	US
Telephone Number	:	919-210-3188
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2010
Last Update Date	:	01/22/2023

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