Hailey Anjolique Burkholder, LSW, LICDC, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2512094 Issued in OH

Practice address

4971 Arlington Centre Blvd Ste B
Columbus, OH 43220-3382

Phone

(614) 301-3546

NPI assigned

Apr 26, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1124816632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4971 ARLINGTON CENTRE BLVD STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203382",
            "telephone_number": "614-301-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4971 ARLINGTON CENTRE BLVD STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203382",
            "telephone_number": "614-301-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "HAILEY",
        "middle_name": "ANJOLIQUE",
        "credential": "LSW, LICDC, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-26",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "LCSW2140840",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2512094",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Charles Burkhart, PA-C
• Sarah Ann Louise Burkhart
• Taylor J. Burkhart, DO
• Nitisha Y Burkhead, LISW-S
• Chad Matthew Burkholder
• Judith Ann Burkholder, RN, CNS
• Kristen Jill Burkholder, O.D.
• Mikayla Rose Burkholder
• Katie Burkhouse
• Izaah Burks

• Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.