Provider Demographics
NPI:1609526938
Name:CRUMPLER, HALEY (MSW, LCSWA)
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:
Last Name:CRUMPLER
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:MS
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:BOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1511 FARM LAKE DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-8803
Mailing Address - Country:US
Mailing Address - Phone:508-713-3913
Mailing Address - Fax:
Practice Address - Street 1:1511 FARM LAKE DR
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-8803
Practice Address - Country:US
Practice Address - Phone:508-713-3913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0148921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical