MS. STACEY TYWANNA HAILEY
NPI 1083866628
Social Worker - Clinical in Pembroke, NC

Active since October 15, 2008
139 THREE HUNTS DR, PEMBROKE, NC 28372(910) 272-3220 Get Directions Write a Review

NPPES record last updated: September 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Stacey Tywanna Hailey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STACEY TYWANNA HAILEY (NPI 1083866628) is an individual clinical provider in Pembroke, North Carolina, licensed in Virginia (0904007617) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1083866628
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. STACEY TYWANNA HAILEY
Location Address139 THREE HUNTS DRPembroke, NC 28372-6800
Mailing Address7841 Walters RdLaurel Hill, NC 28351-8947 · (910) 272-3220
Sole ProprietorNo
Enumeration DateOctober 15, 2008
Last NPPES UpdateSeptember 20, 2013
NPI 1083866628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904007617
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
139 THREE HUNTS DR, Pembroke, NC 28372

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
139 THREE HUNTS DR
PEMBROKE, NC 28372
Social Worker (Clinical)
139 THREE HUNTS DR
PEMBROKE, NC 28372
Physician Assistant
139 THREE HUNTS DR
PEMBROKE, NC 28372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Hailey's NPI number?

The NPI number for Stacey Hailey is 1083866628. It was assigned to this individual provider in the NPPES registry on October 15, 2008.

Where is Stacey Hailey located?

Stacey Hailey practices at 139 Three Hunts Dr, Pembroke, NC 28372. The listed phone number is (910) 272-3220.

What is Stacey Hailey's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Stacey Hailey was last updated on September 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.