Healthcare Provider Details

I. General information

NPI: 1023600731
Provider Name (Legal Business Name): LINNETTE MARIE HAYNES LCSW, PPSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2021
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 GOLDEN GATE AVE
SAN FRANCISCO CA
94102-3101
US

IV. Provider business mailing address

252 DUBLIN STREET
SAN FRANCISCO CA
94112
US

V. Phone/Fax

Practice location:
  • Phone: 415-609-4222
  • Fax:
Mailing address:
  • Phone: 415-609-4222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberLCSW69920
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: