Bekki Dize Haynie, LCSW, LMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010377 Issued in VA

Practice address

36086 Lankford Highway
#308
Belle Haven, VA 23306

Phone

(757) 442-6147

Fax

(757) 442-6148

NPI assigned

May 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Therapeutic Interventions, Inc

  • Community/Behavioral Health Agency
  • Belle Haven, VA
  • NPI 1093970972
  NPD (past)

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1871084152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36086 LANKFORD HIGHWAY",
            "address_2": "#308",
            "city": "BELLE HAVEN",
            "state": "VA",
            "postal_code": "23306",
            "telephone_number": "757-442-6147",
            "fax_number": "757-442-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36086 LANKFORD HIGHWAY",
            "address_2": "#308",
            "city": "BELLE HAVEN",
            "state": "VA",
            "postal_code": "23306",
            "telephone_number": "757-442-6147",
            "fax_number": "757-442-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNIE",
        "first_name": "BEKKI",
        "middle_name": "DIZE",
        "credential": "LCSW, LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Shore Chiropractic Clinic
• Eastern Shore Community Services Board
• Family Preservation Services, Inc
• Geoffrey W Gubb, MD
• Jenna Hare, MPH, OTD, ORT/L
• Daniel Houtrouw, DPT
• Jordon Kyle Kellam, LPC
• Daniel Macca, MSPT
• Grace Mapp, OTR
• Susan Michelle Martin, DC

• Clinical Social Worker in Belle Haven, VA
• Providers in Belle Haven, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.