Provider Demographics
NPI:1649586355
Name:WATSON, HALEY MICHELLE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:MICHELLE
Last Name:WATSON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:MICHELLE
Other - Last Name:AMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:238 BROOKLEY AVE, BLDG 1300
Mailing Address - Street 2:
Mailing Address - City:BOLLING AFB
Mailing Address - State:DC
Mailing Address - Zip Code:20032-0101
Mailing Address - Country:US
Mailing Address - Phone:202-767-0611
Mailing Address - Fax:202-767-2911
Practice Address - Street 1:238 BROOKLEY AVE, BLDG 1300
Practice Address - Street 2:
Practice Address - City:BOLLING AFB
Practice Address - State:DC
Practice Address - Zip Code:20032-0101
Practice Address - Country:US
Practice Address - Phone:202-767-0611
Practice Address - Fax:202-767-2911
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD157541041C0700X
TN51571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical