AMY HAACK (NPI# 1154800514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154800514 |
| Entity Type | Individual |
| Full Name | AMY HAACK |
| Credential | LCSW |
| Practice Address |
4425 W Olive Ave Ste 151a Glendale AZ 85302-3843 |
| Practice Telephone | 6024564817 |
| Mailing Telephone | 6024564817 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
15445 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285033001 | Amy Haack | Pharmacist | 2865 Daggett Ave, Klamath Falls, OR 97601 | 2014-08-18 |
| Street Address |
4425 W OLIVE AVE STE 151A |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902251002 | Michael David Mcgady Jr. | Psychologist | 4425 W Olive Ave Ste 151a, Glendale, AZ 85302-3843 | 2016-04-27 |
| 1548808405 | Mcgady & Associates Psychological Services Plc | Clinic/Center | 4425 W Olive Ave Ste 151a, Glendale, AZ 85302-3843 | 2019-12-11 |
| 1912433541 | Mcgady & Associates Psychological Services Plc | Psychologist | 4425 W Olive Ave Ste 151a, Glendale, AZ 85302-3843 | 2017-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543103 | Taylor C Lambert | Social Worker | 220 E Broadway Ste 214, Glendale, CA 91205-1056 | 2020-09-16 |
| 1427661354 | The Cradle Company, LLC | Social Worker | 1510 E Windsor Rd, Glendale, CA 91205-2724 | 2020-08-29 |
| 1760962211 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 7877 N Port Washington Rd, Glendale, WI 53217-3132 | 2018-08-15 |
| 1699277962 | Elizabeth J Roberts Pllc | Social Worker | 5940 W Union Hills Dr Ste 200, Glendale, AZ 85308-1308 | 2018-03-02 |
| 1992219695 | Adrianne Averbukh | Social Worker | 230 N Maryland Ave Suite 209, 209, Glendale, CA 91206-9120 | 2017-11-17 |
| 1306374392 | Anna Teresa Jones | Social Worker | 8751 N 51st Ave Ste 121e, Glendale, AZ 85302-4941 | 2017-06-02 |
| 1174072896 | Jocelyn Ann Ryan | Social Worker | 550 N Brand Blvd, Glendale, CA 91203-1900 | 2016-09-22 |
| 1548612393 | Mary Kay Krawczyk | Social Worker | 19207 N 73rd Ln, Glendale, AZ 85308-5601 | 2016-07-05 |
| 1962857516 | Alexia Maroun | Social Worker | 1345 Romulus Dr, Glendale, CA 91205-3741 | 2016-05-02 |
| 1831560739 | Tanya Verigin | Social Worker | 1125 E Broadway # 247, Glendale, CA 91205-1315 | 2015-10-18 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.