Active NPI
Kathryn Renee Hayden, LCSW, LADC
- Clinical Social Worker
- Edmond, OK
National Provider Identifier
1104018035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3473
- Practice address
- 1601 S State St
Edmond, OK 73013-3626 - Phone
- (405) 650-9769
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 633 | OK | |
| Clinical Social Worker | 1041C0700X | 3473 | OK | Primary |
Addresses
Primary practice location
1601 S State St
Edmond, OK 73013-3626
Mailing address
1601 S. State Street
Suite 100
Edmond, OK 73013
Phone (405) 650-9769
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 |
|---|---|---|---|
| 3473 | OK | MD | Physical Therapy Assistant |
| 633 | OK | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1104018035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 S. STATE STREET",
"address_2": "SUITE 100",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-650-9769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 S STATE ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133626",
"telephone_number": "405-650-9769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN",
"first_name": "KATHRYN",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LCSW, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "633",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "3473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.