MEDICARE: HALEY CALIGARIS GONZALEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	137580	CA

General Provider Information

NPI Number	:	1164102968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY CALIGARIS GONZALEZ

Provider Business Mailing Address
First Line	:	655 MINNEWAWA AVE # 2247
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-1757
Country	:	US
Telephone Number	:	559-797-7773
Fax Number	:

Provider Business Practice Location Address
First Line	:	5740 N PALM AVE STE 101
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-1800
Country	:	US
Telephone Number	:	559-547-0907
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2023
Last Update Date	:	04/10/2026

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Directions to “ HALEY CALIGARIS GONZALEZ ” Practice Location

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