Individual provider · Type 1 NPI

James M. Haitz, LCSW R

Clinical Social Worker · Lyons, NY

NPI number 1841322948 Active

Practice location

1519 Nye Road, Wayne Behavioral Health Network
Lyons, NY 14489

Call (315) 946-5722 Map

Fax (315) 946-7066

Mailing address

790 Green Meadow Dr
Macedon, NY 14502

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X053771 (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 1841322948

James M. Haitz, LCSW R's National Provider Identifier is 1841322948, issued on Mar 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lyons, NY. The record was last updated on Jul 8, 2007.