Provider Demographics
NPI:1184300774
Name:HAYDEL, ONDREA (LCSW)
Entity type:Individual
Prefix:
First Name:ONDREA
Middle Name:
Last Name:HAYDEL
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 1:10512 CARROLLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-4006
Mailing Address - Country:US
Mailing Address - Phone:813-810-2584
Mailing Address - Fax:
Practice Address - Street 1:10512 CARROLLVIEW DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4006
Practice Address - Country:US
Practice Address - Phone:813-810-2584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW14246104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker