Valda Haywood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149023448 Issued in IL

Practice address

713 Vogel PL
East Saint Louis, IL 62205-2134

Phone

(618) 409-5884

Fax

(630) 716-3430

NPI assigned

Jan 20, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coping With Choices Therapy Group LLC

  • Clinical Social Worker
  • O Fallon, IL
  • NPI 1104419365
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1043962046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 VOGEL PL",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622052134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 VOGEL PL",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622052134",
            "telephone_number": "618-409-5884",
            "fax_number": "630-716-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "VALDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hand and Hand Home Healthcare
• Robert Dean Harper, RPH
• Erica Harvey
• Mohammad Hashemi, MD
• Annie Mae Haynes
• Hazel Bland Promise Center
• Carrie Linda Hegdahl, NCSP
• Alissa Anne Helm, DO
• Harry George Henderson, DDS
• Yolanda L Hoag, ACNPC-AG

• Clinical Social Worker in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.