Provider Demographics
NPI:1508362567
Name:CALCUTT, HALI (LCSWA)
Entity Type:Individual
Prefix:MRS
First Name:HALI
Middle Name:
Last Name:CALCUTT
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2617 OLIVIA RD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332-3240
Mailing Address - Country:US
Mailing Address - Phone:919-895-8402
Mailing Address - Fax:
Practice Address - Street 1:990 GLOVERS GROVE CHURCH RD
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-6517
Practice Address - Country:US
Practice Address - Phone:919-837-2336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0122471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical