Individual provider Active NPI

Travis Jay Hayes, LICSW

  • Clinical Social Worker
  • Saint Louis Park, MN
National Provider Identifier
1144070095
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28786 Issued in MN
Practice address
7307 W Franklin Ave
Saint Louis Park, MN 55426-2013
Phone
(701) 213-9544
NPI assigned
Mar 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 28786 MN Primary

Addresses

Primary practice location

7307 W Franklin Ave
Saint Louis Park, MN 55426-2013

Mailing address

7307 W Franklin Ave
Saint Louis Park, MN 55426-2013
Phone (701) 213-9544

Other practice location 1

1250 W Broadway Ave
Minneapolis, MN 55411-2533
Phone (612) 668-1083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20240529002587 MN Practitioner - Clinical Social Worker 6406298959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeview Behavioral Health IncGroup PAC ID 9537432307, 24 clinicians

Practice addresses (Care Compare)

516 S Pokegama Ave
Grand Rapids, MN 55744-3800
Phone (218) 327-2001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Behavioral Health Inc. CurrentSince May 1, 2024 Accepting new patients

Locations

516 S Pokegama Ave
Grand Rapids, MN 55744
Phone (218) 327-2001

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1144070095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 W FRANKLIN AVE",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554262013",
            "telephone_number": "701-213-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 W FRANKLIN AVE",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554262013",
            "telephone_number": "701-213-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554112533",
            "country_code": "US",
            "telephone_number": "612-668-1083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "TRAVIS",
        "middle_name": "JAY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-25",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis Park, MN

Sources for this page

Verify at the official NPI Registry.