Provider Demographics
NPI:1215642301
Name:BADANJEK, HALEY PAIGE (LSW)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:PAIGE
Last Name:BADANJEK
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2465 N 50TH ST APT 404E
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-1476
Mailing Address - Country:US
Mailing Address - Phone:484-343-7187
Mailing Address - Fax:
Practice Address - Street 1:255 S 17TH ST STE 2902
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-6201
Practice Address - Country:US
Practice Address - Phone:443-332-8145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1393161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical