# MARY PATRICIA HASKINS

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

## Provider details

- **NPI number:** 1790951903
- **Gender:** F
- **Credential:** LCSW, LMHP, LADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 855 | NE | — |
| 101YM0800X | Mental Health Counselor | 3724 | NE | — |
| 1041C0700X | Clinical Social Worker | 1369 | NE | Yes |

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 12/02/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025687100 | — | NE |
| 01 | — | NA1687 | MEDICARE PTAN | NE |