Mr James M Haitz, LCSW R | |
1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | |
(315) 946-5722 | |
(315) 946-7066 |
Full Name | Mr James M Haitz |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1519 Nye Road, Lyons, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841322948 | NPI | - | NPPES |
00053771 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 053771 (New York) | Primary |
Entity Name | County Of Wayne |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003824855 PECOS PAC ID: 8921919994 Enrollment ID: O20040505000103 |
Mailing Address | Practice Location Address |
---|---|
Mr James M Haitz, LCSW R 790 Green Meadow Dr, Macedon, NY 14502 Ph: (315) 986-2307 | Mr James M Haitz, LCSW R 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 Ph: (315) 946-5722 |
Alannah Sliwoski Dehond, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 Fax: 315-946-7079 | |
Mr. Joseph D Mattes, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 Fax: 315-946-7079 | |
Justin Scott Emerling, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 | |
Rachel Anne Muto, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 Fax: 315-946-7079 | |
Renee Lynn Brean, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 Fax: 315-946-7079 | |
Mrs. Suzanne M Catholdi, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 Fax: 315-946-5726 | |
Arick W Combs, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 Fax: 315-946-7079 |