Active NPI
Susan Hayatghaib, LCSW
- Clinical Social Worker
- Gilroy, CA
National Provider Identifier
1306960729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW22259
- Practice address
- 7475 Camino Arroyo
Gilroy
Gilroy, CA 95020-4733 - Phone
- (408) 686-2370
- Fax
- (408) 848-4370
- NPI assigned
- Mar 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW22259 | CA | Primary |
Addresses
Primary practice location
7475 Camino Arroyo
Gilroy
Gilroy, CA 95020-4733
Mailing address
PO Box 505
Wadsworth, IL 60083-0505
Phone (408) 821-9148
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 |
|---|---|---|---|
| LCSW22259 | CA | MD | Clinical Social Worker |
| 22259 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1306960729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 505",
"city": "WADSWORTH",
"state": "IL",
"postal_code": "600830505",
"telephone_number": "408-821-9148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7475 CAMINO ARROYO",
"address_2": "GILROY",
"city": "GILROY",
"state": "CA",
"postal_code": "950204733",
"telephone_number": "408-686-2370",
"fax_number": "408-848-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYATGHAIB",
"first_name": "SUSAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW22259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.