Virginia S Haines, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1700726 Issued in OH

Practice address

14 Sandalwood Dr
Newark, OH 43055-9233

Phone

(740) 788-8850

Fax

(740) 788-3424

NPI assigned

Feb 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Virginia S Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Equitas Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1063239911
  NPD (past)

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1831438183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SANDALWOOD DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559233",
            "telephone_number": "740-788-8850",
            "fax_number": "740-788-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SANDALWOOD DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559233",
            "telephone_number": "740-788-8850",
            "fax_number": "740-788-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "VIRGINIA",
        "middle_name": "S",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700726",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1700726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "WILSON",
            "middle_name": "S",
            "credential": "VIRGINIA WILSON LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Cathryn Haas, MSW 1
• Mark Hacker, P.A.-C.
• Alexandra Marie Haffner, CNP
• Thomas J Hagele
• Saad A. Hagras
• Courtney A Haley
• Jeanette Hall, QMHS
• Kaitlyn Hall
• Kelsey Louise Hall
• Kylie Alexis Hambel

• Clinical Social Worker in Newark, OH
• Providers in Newark, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.