# MARIA T D'HAENE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1619073541
- **Gender:** F
- **Credential:** LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 089-0000762 | VT | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 04/01/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00059708 | BC/BS OF VT | VT |
| 05 | — | 1010098 | — | VT |
| 01 | — | 2174788 | CIGNA | VT |
| 01 | — | 360275 | TRICARE | VT |
| 01 | — | 989026C | MVP HEALTHCARE | VT |