Lawrence Joseph Haas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149020955 Issued in IL

Practice address

100 Bodin Cir
Fairfield, CA 94535-1804

Phone

(707) 416-8642

NPI assigned

Apr 28, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1770166712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 TOLAND DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343441",
            "telephone_number": "208-599-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BODIN CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945351804",
            "telephone_number": "707-416-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "LAWRENCE",
        "middle_name": "JOSEPH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lawrence.haas@va.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "100 Bodin Cir",
            "city": "Fairfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945351804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Luanne Guy, PA
• Zairy Guzman Parra
• Jahayra Guzman Silva
• Steven G Gwiazdowski, MD
• Hana L Ha
• Mathyas Luis Habte-Michael
• Michelle Marie Hackett, LMFT
• Farah Haddadin
• William C Haden, MFC35275
• Anita Rose Hagewood, LICENSED PSYCH TECH

• Clinical Social Worker in Fairfield, CA
• Providers in Fairfield, 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 Apr 28, 2021; 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.