Provider Demographics
NPI:1710533310
Name:SCHERMERHORN, HAYLIE (LICSW)
Entity Type:Individual
Prefix:
First Name:HAYLIE
Middle Name:
Last Name:SCHERMERHORN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:SCHERMERHORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:439 WASHINGTON STREET, FL 2
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-4745
Mailing Address - Country:US
Mailing Address - Phone:781-718-2654
Mailing Address - Fax:
Practice Address - Street 1:439 WASHINGTON STREET, FL 2
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184
Practice Address - Country:US
Practice Address - Phone:781-718-2654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-11
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALICSW127656104100000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health