Provider Demographics
NPI:1245100130
Name:LASHBROOK, HAILEY NICOLE (LCSW)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:NICOLE
Last Name:LASHBROOK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7838 BRISTOL PARK DR
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-1520
Mailing Address - Country:US
Mailing Address - Phone:727-831-9452
Mailing Address - Fax:
Practice Address - Street 1:7838 BRISTOL PARK DR
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-1520
Practice Address - Country:US
Practice Address - Phone:727-831-9452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL257001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical