Ellen Haynes, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

15155 Issued in TN

Practice address

142 Lynnwood Cir
Clarksville, TN 37040-5043

Phone

(931) 561-3488

Fax

(931) 208-2054

NPI assigned

Jan 31, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Resilience Center

  • Clinical Social Worker
  • Clarksville, TN
  • NPI 1518780964
  NPD

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1295548386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 LYNNWOOD CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405043",
            "telephone_number": "931-561-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 LYNNWOOD CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405043",
            "telephone_number": "931-561-3488",
            "fax_number": "931-208-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "15155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "help@resiliencetn.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "142 Lynnwood Cir",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370405043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Sue Hay, MSW
• Jaquesa Hayes-Finney
• Kali Mae Hayes-Riddle, PHARMD
• Kailey Hayes
• Natasha Renee Hayes
• Jessica Ann Hays, PTA
• Onquinette Sharie Hayslett
• Audrey C Hazelwood, MED, BCBA-LBA
• Healing Haven LLC
• Healogics Specialty Physicians of Tennessee, PLLC

• Social Worker in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.