Individual
MICHAEL HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3485
KY
1041C0700X
Clinical Social Worker
DP00939800
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000539976
ANTHEM BCBS
—
01
—
11754719
CAQH
—
01
—
610661987004
TRICARE
—
05
—
7100280750
—
KY
01
—
APPROVED
LIFESYNCH/HUMANA
—
Enumeration date
08/31/2006
Last updated
07/10/2023
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