Healthcare Provider Details

I. General information

NPI: 1528996170
Provider Name (Legal Business Name): CLAIRE ELIZABETH HALSEY LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 12TH STREET EXT
PRINCETON WV
24740-2329
US

IV. Provider business mailing address

PO BOX 130
CRAB ORCHARD WV
25827-0130
US

V. Phone/Fax

Practice location:
  • Phone: 304-425-9541
  • Fax: 681-282-5558
Mailing address:
  • Phone: 304-888-2512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberBP00947325
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: