Individual provider Active NPI

Christy Lynn Haynes, LICSW

  • Clinical Social Worker
  • South Charleston, WV
National Provider Identifier
1275763807
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00942414 Issued in WV
Practice address
312 6TH Ave Ste 2
South Charleston, WV 25303-1265
Phone
(304) 768-6170
Fax
(304) 768-2099
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 DP00942414 WV Primary

Addresses

Primary practice location

312 6TH Ave Ste 2
South Charleston, WV 25303-1265

Mailing address

312 6TH Ave Ste 2
South Charleston, WV 25303-1265
Phone (304) 768-6170

Other names 1

  • Christy Lynn Flores Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drdan@psycareinc.gwaydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20100107000194 WV Practitioner - Clinical Social Worker 6103864020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
West Virginia University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psycare IncGroup PAC ID 1759310998, 11 clinicians

Practice addresses (Care Compare)

312 6TH Ave
Suite 2
South Charleston, WV 25303-1265
Phone (304) 768-6170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00942414WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare Inc CurrentSince Nov 14, 2009 Accepting new patients

Locations

312 6th Ave
Ste 2
South Charleston, WV 25303
Phone (304) 345-0880

Interoperability endpoints

  • Direct secure messaging: drdan@psycareinc.gwaydirect.com

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1275763807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 6TH AVE STE 2",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031265",
            "telephone_number": "304-768-6170",
            "fax_number": "304-768-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 6TH AVE STE 2",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031265",
            "telephone_number": "304-768-6170",
            "fax_number": "304-768-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "CHRISTY",
        "middle_name": "LYNN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00942414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drdan@psycareinc.gwaydirect.com",
            "affiliation": "N",
            "address_1": "312 6th Ave Ste 2",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253031265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "FLORES",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.