Provider Demographics
NPI:1972390730
Name:CHATWIN, HALEY (LCSW, ADDC)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:CHATWIN
Suffix:
Gender:
Credentials:LCSW, ADDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 COUNTY ROAD 507
Mailing Address - Street 2:
Mailing Address - City:BAYFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:81122-9712
Mailing Address - Country:US
Mailing Address - Phone:970-632-3120
Mailing Address - Fax:
Practice Address - Street 1:12567 W CEDAR DR STE 250
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-2039
Practice Address - Country:US
Practice Address - Phone:303-691-6095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099316611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical