Renee Diane Haas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

88478 Issued in CA

Practice address

630 Kings CT
Ukiah, CA 95482-5003

Phone

(707) 468-7700

NPI assigned

Jun 14, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1194385948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 KINGS CT",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825003",
            "telephone_number": "707-468-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 KINGS CT",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825003",
            "telephone_number": "707-468-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Sherry Dr",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954823392",
            "country_code": "US",
            "telephone_number": "707-468-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAS",
        "first_name": "RENEE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Gutierrez
• Michael Gutierrez
• Brenda Guzman
• H.W. Gordon, M.D., Medical Corporation
• Dorothy Gayle Haas
• Sharon Habina
• Susan Theresa Hadel, FNP, RN
• Robert Thayne Hake
• Jocelyn Hale
• Rebecca Renee Hale, RN

• Clinical Social Worker in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.