Provider Demographics
NPI:1073146999
Name:GREENE, HALEY ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:ELIZABETH
Last Name:GREENE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:HALEY
Other - Middle Name:ELIZABETH
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:252 IVEN AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:ST DAVIDS
Mailing Address - State:PA
Mailing Address - Zip Code:19087-4923
Mailing Address - Country:US
Mailing Address - Phone:610-295-3280
Mailing Address - Fax:
Practice Address - Street 1:491 ALLENDALE RD STE 320
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1432
Practice Address - Country:US
Practice Address - Phone:610-544-2110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-19
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW209651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical