Healthcare Provider Details

I. General information

NPI: 1538045000
Provider Name (Legal Business Name): ROBERT NOLAN HAZE BROWN LCSWA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL RD
CHEROKEE NC
28719
US

IV. Provider business mailing address

PO BOX 96809
CHARLOTTE NC
28296-6809
US

V. Phone/Fax

Practice location:
  • Phone: 828-497-9163
  • Fax: 828-497-1723
Mailing address:
  • Phone: 828-497-9163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP022473
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: