Active NPI
Patricia Ann Hays, LISW-CP
- Clinical Social Worker
- Sanford, NC
National Provider Identifier
1003974130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C012125
- Practice address
- 1102 S Park Way
Sanford, NC 27332-1244 - Phone
- (803) 233-3199
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW14296 | FL | |
| Clinical Social Worker | 1041C0700X | 5836 | SC | |
| Clinical Social Worker | 1041C0700X | C012125 | NC | Primary |
Addresses
Primary practice location
1102 S Park Way
Sanford, NC 27332-1244
Mailing address
1102 S Park Way
Sanford, NC 27332-1244
Phone (803) 233-3199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW14296 | FL | MD | Clinical Social Worker |
| C012125 | NC | MD | Clinical Social Worker |
| 5836 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1003974130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 S PARK WAY",
"city": "SANFORD",
"state": "NC",
"postal_code": "273321244",
"telephone_number": "803-233-3199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 S PARK WAY",
"city": "SANFORD",
"state": "NC",
"postal_code": "273321244",
"telephone_number": "803-233-3199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYS",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "LISW-CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW14296",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "5836",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C012125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.