Provider Demographics
NPI:1881325645
Name:ESTY, HAROLD SEWARD IV (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:SEWARD
Last Name:ESTY
Suffix:IV
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 LEAH DR
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-6401
Mailing Address - Country:US
Mailing Address - Phone:812-430-5611
Mailing Address - Fax:
Practice Address - Street 1:1566 S GRAND AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47713-2638
Practice Address - Country:US
Practice Address - Phone:812-430-5611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34007631A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical