Individual provider · Type 1 NPI

Shelli Lynn Haynes, LCSW

Clinical Social Worker · Redmond, OR

NPI number 1467548123 Active

Practice location

1707 SW Parkway Dr
Redmond, OR 97756-2581

Mailing address

63417 Ledgestone Ct
Bend, OR 97701-7723

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XR052334 (NY)
Clinical Social Worker Primary 1041C0700XL4279 (OR)

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 1467548123

Shelli Lynn Haynes, LCSW's National Provider Identifier is 1467548123, issued on Oct 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Redmond, OR. The record was last updated on Sep 3, 2008.