Individual
SANDRA HELENE HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
650 BRANCH AVE STE 6, PROVIDENCE, RI 02904-1728
(401) 233-5055
Mailing address
PO BOX 746088, ATLANTA, GA 30374-6088
(469) 727-6675
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00880
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021900
BEACON HEALTH STRATEGIES
RI
01
—
25730-9
BLUE CROSS & BLUE SHIELD
RI
01
—
410639
BLUE CHIP
RI
01
—
6226514
UNITED BEHAVIORAL HEALTH
RI
Enumeration date
04/02/2007
Last updated
11/29/2023
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