MARY HAYNES (NPI# 1588202915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588202915 |
| Entity Type | Individual |
| Full Name | MARY HAYNES |
| Credential | LCSW |
| Practice Address |
6510 Petersen Rd Petaluma CA 94952-9223 |
| Mailing Address |
Po Box 1018 Petaluma CA 94953-1018 |
| Practice Telephone | 7078154604 |
| Mailing Telephone | 7078154604 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
82984 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916845 | Mary J Haynes | Nurse's Aide | 4384 W County Road 785 N, Boonville, IN 47601-7536 | 2020-06-15 |
| 1902896921 | Mary Haynes | Nurse Practitioner | 45104 10th St W, Lancaster, CA 93534-2310 | 2005-10-21 |
| 1235753146 | Mary Haynes | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-06-05 |
| 1194184275 | Mary Joanna Haynes | Behavioral Analyst | 751 E Georgia Rd, Suite 100, Woodruff, SC 29388-8787 | 2016-02-17 |
| 1942673249 | Mary Haynes | Speech-Language Pathologist | 6705 W 12th St, Suite 3, Little Rock, AR 72204-1515 | 2015-11-09 |
| 1528450293 | Mary M Haynes | Nurse Practitioner | 6165 Glenway Ave, Cincinnati, OH 45211-6338 | 2015-03-04 |
| 1568757318 | Mary J. Haynes | Counselor | 201 N. Eugene St., Greensboro, NC 27401-2221 | 2011-06-09 |
| 1417979881 | Mary Jane Haynes | Pediatrics | 2000 Church St, Box 110, Nashville, TN 37236-0001 | 2006-07-24 |
| Street Address |
6510 PETERSEN RD |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-9223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588147201 | Kristine Tergesen | Social Worker | 124 Howard St, Petaluma, CA 94952-2922 | 2018-09-09 |
| 1619402278 | Heather Ghiglieri | Social Worker | 1707 Southgate Dr, Petaluma, CA 94954-3001 | 2017-04-20 |
| 1780060053 | Angela Brownemiller | Social Worker | 775 Baywood Dr Ste 111a, Petaluma, CA 94954-5500 | 2015-08-10 |
| 1841622768 | Jennifer Brazinsky Jones | Social Worker | 205 Keller St Ste 205, Petaluma, CA 94952-2878 | 2013-08-01 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1164711404 | Laura J Schnizler | Social Worker | 941 B St, Petaluma, CA 94952-4024 | 2011-04-06 |
| 1518279926 | Christina Marie Ingenito | Social Worker | 204 G Street, Suite 203, Petaluma, CA 94952 | 2010-07-14 |
| 1225164585 | Kathleen Mccormick | Social Worker | 6 Petaluma Blvd N, Suite B4, Petaluma, CA 94952-3050 | 2007-02-23 |
| 1235277047 | Mary Louise Swift | Social Worker | 305 Bishop Circle, Petaluma, CA 94954 | 2007-02-02 |
| 1790832251 | Kathleen Adams | Social Worker | 7 4th St Ste 42, Petaluma, CA 94952-7402 | 2007-01-05 |
| Find all providers in PETALUMA | ||||
Please comment or provide details below to improve the information on MARY HAYNES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.