Melanie Louise Haynes, L.C.S.W.

Individual provider Active NPI Clinical Social Worker · Wasco, CA

NPI 1992903272 · NPPES record last updated Apr 29, 2015

Key facts

NPI
1992903272
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
15524 (CA)
Practice address
930 F St
Wasco, CA 93280-2040
Phone
(661) 758-7300
Fax
(661) 758-7302
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
15524CAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15524 CA Yes

Addresses

Primary practice location

930 F St
Wasco, CA 93280-2040

Mailing address

PO Box 1000
Bakersfield, CA 93302-1000
Phone (661) 758-7332

Other names

  • Melanie Davie Haynes Former name

Other providers in Wasco, CA

All providers in Wasco, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.