Healthcare Provider Details

I. General information

NPI: 1982225074
Provider Name (Legal Business Name): HAYLEY HOGUE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2020
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 E CENTRAL AVE
BISMARCK ND
58501-2066
US

IV. Provider business mailing address

1303 E CENTRAL AVE
BISMARCK ND
58501-2066
US

V. Phone/Fax

Practice location:
  • Phone: 701-471-7092
  • Fax: 701-401-0267
Mailing address:
  • Phone: 701-471-7092
  • Fax: 701-401-0267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number5180
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5180
License Number StateND
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number5180
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: