Adam L Haynes, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

74673 Issued in CA

Practice address

5117 Mount Royal Dr
Los Angeles, CA 90041-1331

Phone

(818) 317-2661

NPI assigned

Sep 27, 2013

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1073940680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900419214",
            "telephone_number": "818-317-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 MOUNT ROYAL DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411331",
            "telephone_number": "818-317-2661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "867 N Fair Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911033050",
            "country_code": "US",
            "telephone_number": "626-798-6793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Colorado Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900411733",
            "country_code": "US",
            "telephone_number": "323-745-1802",
            "fax_number": "323-745-1802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "ADAM",
        "middle_name": "L",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "74673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizette Hayman
• Rivka Hayman
• Stephanie Hayman, L.AC.
• Yisraela Jill Hayman, LMFT
• Ethan Haymovitz, DSW
• Asanti Haynes
• Brandon Michael Haynes, M.D.
• Karla Haynes, MFT INTERN
• Karla Aurine Haynes, RN, MPH, MS, CPNP
• Raquel Diane Haynes

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.