Provider Demographics
NPI:1952180978
Name:ESPADA, HALEIGH MADISON (LMSW)
Entity Type:Individual
Prefix:
First Name:HALEIGH
Middle Name:MADISON
Last Name:ESPADA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 ROUTE 208 APT 23
Mailing Address - Street 2:
Mailing Address - City:WASHINGTONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10992-1923
Mailing Address - Country:US
Mailing Address - Phone:845-421-9052
Mailing Address - Fax:
Practice Address - Street 1:27 MATTHEWS ST
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-1962
Practice Address - Country:US
Practice Address - Phone:845-801-4171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY118637104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker