Individual provider · Type 1 NPI

James Leonard Haines-Burnham, LCSW-R

Clinical Social Worker · Ithaca, NY

NPI number 1699894998 Active

Practice location

415 N Tioga St
Ithaca, NY 14850-4228

Call (607) 342-6219 Map

Mailing address

512 Utica St
Ithaca, NY 14850-3642

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	R061504 (NY)

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 1699894998

James Leonard Haines-Burnham, LCSW-R's National Provider Identifier is 1699894998, issued on Mar 28, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Jul 8, 2007.