Hailey Anjolique Burkholder, LSW, LICDC, LCSW
Social Worker in Columbus, OH. Individual provider (NPI-1).
NPI number1124816632
StatusActive
Last updated in NPPESOct 31, 2025
Details
- NPI
- 1124816632
- Entity type
- Individual (NPI-1)
- Name
- Hailey Anjolique Burkholder
- Credential
- LSW, LICDC, LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2025
- Certification date
- Oct 31, 2025
- Last updated
- Oct 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | S.2512094 | OH | Yes |
| 104100000X | Social Worker | LCSW2140840 | MA | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LICDC.162894 | OH |
Practice location
4971 Arlington Centre Blvd Ste BColumbus, OH 43220-3382
Phone 614-301-3546
Mailing address
4971 Arlington Centre Blvd Ste BColumbus, OH 43220-3382
Phone 614-301-3546
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