Individual provider Active NPI

Richard Hayford, MS, BSL

  • Clinical Social Worker
  • Wellsboro, PA
National Provider Identifier
1316345226
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BH002509 Issued in PA
Practice address
62 Plaza LN
Wellsboro, PA 16901-1766
Phone
(570) 724-7142
Fax
(570) 724-6771
NPI assigned
Dec 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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 BH002509 PA Primary

Addresses

Primary practice location

62 Plaza LN
Wellsboro, PA 16901-1766

Mailing address

One West Main Street
Fleetwood, PA 19522-1766
Phone (610) 944-0445

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
Credentials
Bachelor of Science - Law, Master of Science

State licenses

LicenseStateTypeSpecialty
BH002509PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1316345226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE WEST MAIN STREET",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221766",
            "telephone_number": "610-944-0445",
            "fax_number": "610-944-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PLAZA LN",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011766",
            "telephone_number": "570-724-7142",
            "fax_number": "570-724-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYFORD",
        "first_name": "RICHARD",
        "credential": "MS, BSL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "BH002509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.