Individual provider · Type 1 NPI

Sydney Haynes, LCSW

Clinical Social Worker · Willow Creek, CA

NPI number 1376000646 Active

Practice location

49 Fireway Lane
Willow Creek, CA 95573-0724

Mailing address

PO Box 724
Willow Creek, CA 95573-0724

Other practice locations

  • 57 Walnut Way, Willow Creek, CA 95573 · (541) 292-6021

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW104076 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1376000646

Sydney Haynes, LCSW's National Provider Identifier is 1376000646, issued on Feb 22, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Willow Creek, CA. The record was last updated on Nov 18, 2024.