Provider Demographics
NPI:1093485500
Name:LAFFERTY, HALEY (LCSW)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:LAFFERTY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6244 CASTLEGATE DR W APT 209
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-8660
Mailing Address - Country:US
Mailing Address - Phone:817-721-0312
Mailing Address - Fax:
Practice Address - Street 1:6244 CASTLEGATE DR W APT 209
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-8660
Practice Address - Country:US
Practice Address - Phone:817-721-0312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1041C0700X
COCSW.099275952255A2300X
CSW.099275951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer