William Allen Haden Jr.
Individual provider Active NPI Clinical Social Worker · Phoenix, OR
NPI 1740611458 · NPPES record last updated Sep 8, 2020
Key facts
- NPI
- 1740611458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L4655 (OR)
- Practice address
- 106 N. Rose Street
Phoenix, OR 97535 - Phone
- (541) 535-3287
- NPI assigned
- Dec 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| L4655 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica del Valle Family Healthcare Center Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4655 | OR | Yes |
Addresses
Primary practice location
106 N. Rose Street
Phoenix, OR 97535
Mailing address
931 Chevy Way
Medford, OR 97504-4127
Phone (541) 690-3555
Other names
- Mr. William Allen Haden Jr.
Other providers in Phoenix, OR
- Alexandria Marie Fenimore
- Brent M Gordon
- Arica Rachel Grafton
- Katherine Ling-Gong Greene
- Stacey M Gregg
- Jena Harris
- Kristen Hawkinson
- Grace Carole Herring
- Emily E Hinman
- Skyla Kenzie Ihne Gazeley
All providers in Phoenix, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2020. 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.