Individual provider Active NPI

Christine T. Haines, LCSW-C

  • Clinical Social Worker
  • Cumberland, MD
National Provider Identifier
1760984447
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19175 Issued in MD
Practice address
907 Seton Drive
Cumberland, MD 21502
Phone
(301) 777-0633
Fax
(240) 362-7110
NPI assigned
Mar 8, 2018
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19175 MD Primary
Marriage & Family Therapist 106H00000X 19175 MD

Addresses

Primary practice location

907 Seton Drive
Cumberland, MD 21502

Mailing address

13850 Fir Tree LN
Cresaptown, MD 21502-5959
Phone (301) 697-4975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180607001990 MD Practitioner - Clinical Social Worker 4587929849 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13850 Fir Tree LN
Cumberland, MD 21502-5959
Phone (240) 301-3052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19175MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Mental Health Associates PC CurrentSince Oct 14, 2019 Accepting new patients
CPT CurrentSince Apr 1, 2023 Accepting new patients
Sola Gratia Counseling Center LLC CurrentSince Nov 21, 2023 Accepting new patients
Covenant Counseling Ministries Inc CurrentSince May 30, 2018 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince May 5, 2023 Accepting new patients

Locations

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

249 Henderson Ave
Cumberland, MD 21502
Phone (240) 362-7444

901 Seton Dr
Cumberland, MD 21502
Phone (301) 722-6272

907 Seton Dr
Cumberland, MD 21502
Phone (301) 759-1004

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1760984447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13850 FIR TREE LN",
            "city": "CRESAPTOWN",
            "state": "MD",
            "postal_code": "215025959",
            "telephone_number": "301-697-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SETON DRIVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "301-777-0633",
            "fax_number": "240-362-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "CHRISTINE",
        "middle_name": "T.",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19175",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "19175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.