Annie Marie Haynes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7178-C Issued in AR

Practice address

233 N Main St
Portland, AR 71663-9230

Phone

(870) 737-2221

Fax

(855) 878-5991

NPI assigned

Jun 16, 2009

Last updated

Mar 26, 2026By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: annie.haynes@mhsi.eclinicaldirectplus.com

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.

• Arkansas Psychiatric Clinic Clinical Research Trials, PA

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1548661200
  Medicare reassignment NPD
• Delta Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1053364612
  Medicare reassignment NPD
• Interventions Behavioral Health Service LLC

  • Mental Health Counselor
  • Crossett, AR
  • NPI 1841689163
  Medicare reassignment NPD
• Mainline Health Systems, Inc

  dba Mills Middle School

  • Federally Qualified Health Center (FQHC)
  • Little Rock, AR
  • NPI 1164264834
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  AR

  Medicare reassignment NPD
• Mainline Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Monticello, AR
  • NPI 1669401501
  NPD
• Mainline Health Systems, Inc

  dba Mainline Health Magnolia Clinic

  • Federally Qualified Health Center (FQHC)
  • Magnolia, AR
  • NPI 1972464337
  NPD
• Dayspring Services of Arkansas LLC

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1184847394
  NPD (past)
• Mainline Health Systems Inc

  dba Portland Health Care

  • Federally Qualified Health Center (FQHC)
  • Portland, AR
  • NPI 1316106388
  NPD (past)
• Mainline Health Systems Inc

  dba Wilmot DRS Clinic

  • Federally Qualified Health Center (FQHC)
  • Wilmot, AR
  • NPI 1891809547
  NPD (past)
• Mainline Health Systems, Inc

  dba Lakeside School

  • Federally Qualified Health Center (FQHC)
  • Lake Village, AR
  • NPI 1508303124
  NPD (past)
• Mainline Health Systems, Inc

  dba Eudora Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Eudora, AR
  • NPI 1619082724
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1932336054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554612",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N MAIN ST",
            "city": "PORTLAND",
            "state": "AR",
            "postal_code": "716639230",
            "telephone_number": "870-737-2221",
            "fax_number": "855-878-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "ANNIE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7178-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annie.haynes@mhsi.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "300 S School St",
            "city": "Dermott",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716382127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Wasson Ainsworth, FNP-C
• Myra Brooke Flemister, APRN
• Amy Floyd, LCSW
• Meredith Leigh Hudson, LPC
• Mainline Health Systems Inc (Portland Health Care)
• Mainline Health Systems, Inc
• Mainline Health Systems, Inc (Portland Elementary Clinic)
• Byron K Montgomery, ANP

• Clinical Social Worker in Portland, AR
• Providers in Portland, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.