Individual provider · Type 1 NPI

Julie Marie Haynes, LCSW

Clinical Social Worker · Portland, OR

NPI number 1790945491 Active

Practice location

10011 SE Division St, Ste 305
Portland, OR 97266-1351

Fax (503) 335-5974

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker Primary 1041C0700XL5411 (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 1790945491

Julie Marie Haynes, LCSW's National Provider Identifier is 1790945491, issued on Jun 16, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Feb 12, 2013.