Provider Demographics
NPI:1033712369
Name:NEWMAN, HALEY (LICSW, LADC)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LICSW, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 232
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:VT
Mailing Address - Zip Code:05465-0232
Mailing Address - Country:US
Mailing Address - Phone:802-393-4375
Mailing Address - Fax:
Practice Address - Street 1:548 OBER HILL RD
Practice Address - Street 2:
Practice Address - City:JOHNSON
Practice Address - State:VT
Practice Address - Zip Code:05656-9228
Practice Address - Country:US
Practice Address - Phone:802-393-4375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-19
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT151.0134100101YA0400X
VT089.01345201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)