National Provider Identifier
James Leonard Haines-Burnham, LCSW-R
James Leonard Haines-Burnham, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 342-6219.
Profile Overview
- NPI
- 1699894998
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 28, 2007
- Last Updated
- July 08, 2007
Practice Location
- 415 N Tioga St
- Ithaca, NY 14850-4228
Phone: (607) 342-6219
Mailing Address
- 512 Utica St
- Ithaca, NY 14850-3642
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1699894998
- Entity Type
- Individual
- Last Name
- Haines-Burnham
- First Name
- James
- Middle Name
- Leonard
- Name Prefix
- Mr.
- Credential
- LCSW-R
- Mailing Street Address
- 512 Utica St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3642
- Mailing Country
- US
- Mailing Phone
- (607) 342-6219
- Practice Street Address
- 415 N Tioga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4228
- Practice Country
- US
- Practice Phone
- (607) 342-6219
- Enumeration Date
- March 28, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)