Healthcare Provider Details

I. General information

NPI: 1407669336
Provider Name (Legal Business Name): HAILEE JEAN PILON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HAILEE GENNINGS LMSW

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

644 MAIN ST
OLEAN NY
14760-1538
US

IV. Provider business mailing address

9717 DEER CREEK RD
PORTVILLE NY
14770-9640
US

V. Phone/Fax

Practice location:
  • Phone: 585-376-0087
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number1661909221
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number120342
License Number StateNY

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: