Active NPI
Kathryn Hay, LCSW
- Clinical Social Worker
- Eau Claire, WI
National Provider Identifier
1194913731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2949-123
- Practice address
- 1221 Whipple St
Eau Claire, WI 54703 - Phone
- (715) 838-3311
- NPI assigned
- Oct 9, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C006596 | NC | |
| Clinical Social Worker | 1041C0700X | 2949-123 | WI | Primary |
Addresses
Primary practice location
1221 Whipple St
Eau Claire, WI 54703
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Phone (715) 838-3311
Other practice location 1
2925 Mondovi Rd
Eau Claire, WI 54701-6141
Phone (715) 832-0238
Other practice location 2
2925 Mondovi Rd
Eau Claire, WI 54701-6141
Phone (715) 832-0238
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2949-123 | Other | WI | STATE OF WI PROF LICENSE |
| C006596 | Other | NC | LICENSED CLINICAL SOCIAL WORKER |
Other names 1
- Kathryn D Hay
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 |
|---|---|---|---|
| C006596 | NC | MD | Clinical Social Worker |
| 2949-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mayo Clinic Health System-Barron
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1194913731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547021510",
"telephone_number": "715-838-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 WHIPPLE ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "54703",
"telephone_number": "715-838-3311"
}
],
"practiceLocations": [
{
"address_1": "2925 Mondovi Rd",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016141",
"country_code": "US",
"telephone_number": "715-832-0238",
"fax_number": "715-832-0771",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2925 Mondovi Rd",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016141",
"country_code": "US",
"telephone_number": "715-832-0238",
"fax_number": "715-832-0771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAY",
"first_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006596",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "2949-123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WI PROF LICENSE",
"identifier": "2949-123",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "C006596",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "HAY",
"middle_name": "D",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.