HALEY CRISWELL (LCSW) – Clinical Social Worker, NPI 1255155818

HALEY CRISWELL (LCSW) is a healthcare provider. based in Kendallville, Indiana. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 34011540A (IN). The NPI Number for HALEY CRISWELL (LCSW) is 1255155818

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
HALEY CRISWELL (LCSW)
NPI
1255155818
Phone
(260) 347-2453
Address
PO BOX 817
Enumeration Date
11 November 2024
Last Update Date
11 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2606366660
Graduation Year
2019 (7 years ago)
PAC ID
7618403221
Group Practice PAC ID
6709795636
Professional Enrollment ID
I20241205003911
Address ID
IN467011302AL833XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,711 CLINICAL SOCIAL WORKER in IN

Provider Addresses for HALEY CRISWELL (LCSW)

  • PO BOX 817

    KENDALLVILLE, IN 467550817

    Phone: (260) 347-2453

    Type: Mailing

  • 833 E MAIN ST

    ALBION, IN 467011302

    Phone: (260) 636-6975

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241205003911IClinical Social WorkerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46755)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709795636View full group profile
NameSpecialtyState
P S Y C H I A T R YIN
Certified Clinical Nurse Specialist (Cns)IN
-IN
Mental Health CounselorIN
P S Y C H I A T R YIN
Nurse PractitionerIN
-IN
Marriage And Family TherapistIN
-IN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Can I use this page to confirm HALEY CRISWELL (LCSW)'s NPI?
Yes. HALEY CRISWELL (LCSW) is listed with NPI 1255155818 in the public NPI dataset.
Is HALEY CRISWELL (LCSW) still practicing?
HALEY CRISWELL (LCSW) is currently listed as active in the public NPI registry.
What is HALEY CRISWELL (LCSW)'s specialty?
The listing groups HALEY CRISWELL (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does HALEY CRISWELL (LCSW) serve?
HALEY CRISWELL (LCSW)'s listing highlights Kendallville, Indiana; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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