National Provider Identifier
James M Haitz, LCSW R
James M Haitz, LCSW R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Lyons, NY and a listed phone number of (315) 946-5722.
Profile Overview
- NPI
- 1841322948
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 12, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1519 Nye Road
- Wayne Behavioral Health Network
- Lyons, NY 14489
Phone: (315) 946-5722
Mailing Address
- 790 Green Meadow Dr
- Macedon, NY 14502
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1841322948
- Entity Type
- Individual
- Last Name
- Haitz
- First Name
- James
- Middle Name
- M
- Name Prefix
- Mr.
- Credential
- LCSW R
- Mailing Street Address
- 790 Green Meadow Dr
- Mailing City
- Macedon
- Mailing State
- NY
- Mailing ZIP Code
- 14502
- Mailing Country
- US
- Mailing Phone
- (315) 986-2307
- Practice Street Address
- 1519 Nye Road
- Practice Address Line 2
- Wayne Behavioral Health Network
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489
- Practice Country
- US
- Practice Phone
- (315) 946-5722
- Practice Fax
- (315) 946-7066
- Enumeration Date
- March 12, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 00053771 (NY)