Joel Haines, LLMSW
Individual provider Active NPI Social Worker · Utica, MI
NPI 1487058608 · NPPES record last updated Jan 12, 2016
Key facts
- NPI
- 1487058608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 46237 Hecker Dr
Utica, MI 48317-5764 - Phone
- (586) 850-1697
- NPI assigned
- Oct 17, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20149 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 20149 | MD | |
| Social Worker | 104100000X | MI | Yes |
Addresses
Primary practice location
46237 Hecker Dr
Utica, MI 48317-5764
Mailing address
46237 Hecker Dr
Utica, MI 48317-5764
Phone (586) 850-1697
Other providers in Utica, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.