Provider Demographics
NPI:1932213238
Name:HALSEY, TIKEYA M (MSW, LCSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:TIKEYA
Middle Name:M
Last Name:HALSEY
Suffix:
Gender:F
Credentials:MSW, LCSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3479 MCKINLEY CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-7001
Mailing Address - Country:US
Mailing Address - Phone:301-643-1414
Mailing Address - Fax:
Practice Address - Street 1:3479 MCKINLEY CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-7001
Practice Address - Country:US
Practice Address - Phone:301-643-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040072211041C0700X
MD271191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD27119OtherSTATE LICENSE
VA0904007221OtherSTATE LICENSE