Active NPI
Kristin J Hayes, LSW
- Social Worker
- Westbrook, ME
National Provider Identifier
1295013639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LS9456
- Practice address
- 40 Kennard St
Westbrook, ME 04092-2318 - Phone
- (207) 939-3458
- NPI assigned
- Aug 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LS9456 | ME | Primary |
Addresses
Primary practice location
40 Kennard St
Westbrook, ME 04092-2318
Mailing address
40 Kennard Street
Westbrook, ME 04092
Phone (207) 939-3458
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LS9456 | ME | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1295013639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 KENNARD STREET",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "04092",
"telephone_number": "207-939-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 KENNARD ST",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040922318",
"telephone_number": "207-939-3458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "KRISTIN",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-03",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "LS9456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.