National Provider Identifier

Jacqueline Marie Haas

Jacqueline Marie Haas is listed in the NPPES registry with a primary specialty of Social Worker in Canandaigua, NY and a listed phone number of (585) 393-7561.

NPI 1821389628Canandaigua, NYSocial Worker

Profile Overview

NPI
1821389628
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
April 27, 2011
Last Updated
April 27, 2011

Practice Location

  • 400 Fort Hill Ave
  • Canandaigua, NY 14424-1159

Phone: (585) 393-7561

Mailing Address

  • 149 Wishing View Dr # 13-D
  • Webster, NY 14580-3150

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1821389628
Entity Type
Individual
Last Name
Haas
First Name
Jacqueline
Middle Name
Marie
Name Prefix
MS.
Mailing Street Address
149 Wishing View Dr # 13-D
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-3150
Mailing Country
US
Mailing Phone
(585) 545-1946
Practice Street Address
400 Fort Hill Ave
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1159
Practice Country
US
Practice Phone
(585) 393-7561
Enumeration Date
April 27, 2011
Last Updated
April 27, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)