Provider Demographics
NPI:1174664379
Name:HALSEY, DANIEL JOSEPH (MSW LICSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JOSEPH
Last Name:HALSEY
Suffix:
Gender:M
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 287
Mailing Address - Street 2:521 BROADWAY AVENUE NORTH
Mailing Address - City:BRAHAM
Mailing Address - State:MN
Mailing Address - Zip Code:55006
Mailing Address - Country:US
Mailing Address - Phone:320-396-3333
Mailing Address - Fax:320-396-3363
Practice Address - Street 1:521 BROADWAY AVENUE NORTH
Practice Address - Street 2:FIVE COUNTY MENTAL HEALTH CENTER BRAHAM
Practice Address - City:BRAHAM
Practice Address - State:MN
Practice Address - Zip Code:55006
Practice Address - Country:US
Practice Address - Phone:320-396-3333
Practice Address - Fax:320-396-3363
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN106104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
HP23938OtherHEALTHPARTNERS
68737HAOtherBCBS
P00026860OtherRAILROAD MEDICARE
16785OtherOPTUM
6220434OtherUBH
1026275OtherPREFERRED ONE