Individual provider · Type 1 NPI

Pendry Haines

Clinical Social Worker · Willits, CA

NPI number 1457901035 Active

Practice location

99 S Humboldt St
Willits, CA 95490-3509

Call (707) 459-9900 Map

Mailing address

PO Box 2077
Ukiah, CA 95482-2077

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	91188 (CA)
Mental Health Counselor	101YM0800X	91188 (CA)
Clinical Social Worker Primary	1041C0700X	99188 (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 1457901035

Pendry Haines's National Provider Identifier is 1457901035, issued on Sep 16, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Willits, CA. The record was last updated on Jan 20, 2021.