Provider Demographics
NPI:1134551427
Name:CALLAHAN, HALEY (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:RABAGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 KEALAKAPU RD
Mailing Address - Street 2:
Mailing Address - City:KULA
Mailing Address - State:HI
Mailing Address - Zip Code:96790-7466
Mailing Address - Country:US
Mailing Address - Phone:808-281-8723
Mailing Address - Fax:
Practice Address - Street 1:210 KEALAKAPU RD
Practice Address - Street 2:
Practice Address - City:KULA
Practice Address - State:HI
Practice Address - Zip Code:96790-7466
Practice Address - Country:US
Practice Address - Phone:808-281-8723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-08
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI99-0194402104100000X
HI1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker