Provider Demographics
NPI:1407669336
Name:PILON, HAILEE JEAN (LMSW)
Entity type:Individual
Prefix:
First Name:HAILEE
Middle Name:JEAN
Last Name:PILON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:HAILEE
Other - Middle Name:
Other - Last Name:GENNINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:9717 DEER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PORTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14770-9640
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:644 MAIN ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1538
Practice Address - Country:US
Practice Address - Phone:585-376-0087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY16619092211041S0200X
NY120342104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool