Amber Lynn Haines, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114880 Issued in MA

Practice address

55 North Rd Ste 220
Bedford, MA 01730

Phone

(781) 825-5714

Fax

(781) 275-1770

NPI assigned

Jan 19, 2007

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)

Enrolled

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1356494538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NORTH RD STE 220",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301078",
            "telephone_number": "781-825-5714",
            "fax_number": "781-275-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NORTH RD STE 220",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "01730",
            "telephone_number": "781-825-5714",
            "fax_number": "781-275-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 South St",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021434297",
            "country_code": "US",
            "telephone_number": "617-284-5130 x2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAINES",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Gutner, O.D.
• Alicia M. Habeshian, NP
• Patricia Mary Hadidian, NP
• Julie Ann Hagigeorges, MS, DPT
• Autumn Hail, LCSW
• Brittany Haley
• Lauren Fontana Hall, LICSW
• Lucille Hammer
• Wanda Lynn Hanebury
• Hany Emile Hanna, M.D.

• Clinical Social Worker in Bedford, MA
• Providers in Bedford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.