Hailey Anjolique Burkholder, MSW, LSW, LICDC is a
Social Worker based in Columbus, Ohio. Hailey Anjolique Burkholder is licensed to practice in Ohio (license number S.2512094) and her current practice location is
4971 Arlington Centre Blvd Ste B, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(614) 301-3546.
NPI number for Hailey Anjolique Burkholder is 1124816632 and her current mailing address is 2269 Antigua Dr Apt 1d, Columbus, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124816632.
Healthcare Provider's Profile
| Full Name | Hailey Anjolique Burkholder |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 4971 Arlington Centre Blvd Ste B, Columbus, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124816632
- Provider Enumeration Date: 04/26/2025
- Last Update Date: 09/02/2025
Medical Identifiers
Medical identifiers for Hailey Anjolique Burkholder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124816632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162894 (Ohio) | Secondary |
| 104100000X | Social Worker | S.2512094 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hailey Anjolique Burkholder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Hailey Anjolique Burkholder, MSW, LSW, LICDC
2269 Antigua Dr Apt 1d,
Columbus, OH 43235-6120
Ph: (614) 301-3546 | Hailey Anjolique Burkholder, MSW, LSW, LICDC
4971 Arlington Centre Blvd Ste B,
Columbus, OH 43220-3382
Ph: (614) 301-3546 |
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