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NPI Code Detail

MEDICARE: HAILEY MICHELE PAYNE LMSW

MEDICARE: HAILEY MICHELE PAYNE LMSW
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
1104100000XSocial Worker2026021278MO

General Provider Information

NPI Number : 1396679585
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILEY MICHELE PAYNE LMSW
Provider Business Mailing Address
First Line : 4304 S BEARFIELD RD
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-9557
Country : US
Telephone Number : 844-424-3577
Fax Number :
Provider Business Practice Location Address
First Line : 4304 S BEARFIELD RD
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-9557
Country : US
Telephone Number : 844-424-3577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ HAILEY MICHELE PAYNE LMSW” Practice Location

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