Active NPI
Tikeya M. Halsey, MSW, LCSW, LCSW-C
- Clinical Social Worker
- Waldorf, MD
National Provider Identifier
1932213238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27119
- Practice address
- 3479 McKinley CT
Waldorf, MD 20603-7001 - Phone
- (301) 643-1414
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904007221 | VA | |
| Clinical Social Worker | 1041C0700X | 27119 | MD | Primary |
Addresses
Primary practice location
3479 McKinley CT
Waldorf, MD 20603-7001
Mailing address
3479 McKinley CT
Waldorf, MD 20603-7001
Phone (301) 643-1414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27119 | Other | MD | STATE LICENSE |
| 0904007221 | Other | VA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27119 | MD | MD | Clinical Social Worker |
| 0904007221 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Alexandria | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Alexandria Community Services Board
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alexandria, VA
- NPI 1447279658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1932213238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3479 MCKINLEY CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206037001",
"telephone_number": "301-643-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3479 MCKINLEY CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206037001",
"telephone_number": "301-643-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALSEY",
"first_name": "TIKEYA",
"middle_name": "M.",
"credential": "MSW, LCSW, LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007221",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "27119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "27119",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0904007221",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.