Shaunequa Haynes, is a
Social Worker - Clinical based in Los Angeles, California. Shaunequa Haynes is licensed to practice in California (license number 111350) and her current practice location is
470 E 3rd St Ste C, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(213) 620-5712.
NPI number for Shaunequa Haynes is 1790284651 and her current mailing address is 470 E 3rd St Ste C, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790284651.
Healthcare Provider's Profile
| Full Name | Shaunequa Haynes |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 470 E 3rd St Ste C, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790284651
- Provider Enumeration Date: 02/06/2018
- Last Update Date: 06/29/2023
Medical Identifiers
Medical identifiers for Shaunequa Haynes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790284651 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 111350 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 111350 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaunequa Haynes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shaunequa Haynes,
470 E 3rd St Ste C,
Los Angeles, CA 90013-1630
Ph: (213) 620-5712 | Shaunequa Haynes,
470 E 3rd St Ste C,
Los Angeles, CA 90013-1630
Ph: (213) 620-5712 |
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