Provider Demographics
NPI:1770274649
Name:HALEY, FRANCESCA CAMILA (LMSW)
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:CAMILA
Last Name:HALEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:FRANCESCA
Other - Middle Name:CAMILA
Other - Last Name:OFRIAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 GRUMMAN RD. WEST
Mailing Address - Street 2:STE 1000
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-5028
Mailing Address - Country:US
Mailing Address - Phone:516-465-4700
Mailing Address - Fax:
Practice Address - Street 1:15 GRUMMAN RD. WEST
Practice Address - Street 2:STE 1000
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5028
Practice Address - Country:US
Practice Address - Phone:516-465-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY114655-07104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker