Individual provider Active NPI

Destiny Hayes, MSW, LICSW

  • Social Worker
  • Rainelle, WV
National Provider Identifier
1316454549
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
DP00945152 Issued in WV
Practice address
176 Medical Center Dr
Rainelle, WV 25962-1064
Phone
(304) 438-6188
NPI assigned
Jan 9, 2018
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X DP00945152 WV Primary

Addresses

Primary practice location

176 Medical Center Dr
Rainelle, WV 25962-1064

Mailing address

176 Medical Center Dr
Rainelle, WV 25962-1064
Phone (304) 438-6188

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
I20180308000708 WV Practitioner - Clinical Social Worker 7214298280 Reassigns benefits to 10 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00945152WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rainelle Medical Center, Inc. CurrentSince Dec 24, 2022 Accepting new patients
Rainelle Medical Center Inc Current Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Rainelle Medical Center, Inc CurrentSince Dec 9, 2020 Accepting new patients
Rainelle Medical Center, Inc CurrentSince Dec 24, 2022 Accepting new patients
Rainelle Medical Center Inc CurrentSince Dec 24, 2022 Accepting new patients
Rainelle Medical Center Inc CurrentSince Jan 1, 2018 Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 24, 2022 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 24, 2022 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Rainelle Medical Center, Inc CurrentSince Dec 24, 2022 Accepting new patients
Rainelle Medical Center Inc Current Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Rainelle Medical Center, Inc. Past Accepting new patients

Locations

101 Railroad St
Alderson, WV 24910
Phone (304) 438-6818

38378 Midland Trl E
Ste B
Caldwell, WV 24925
Phone (304) 520-0182

149 Goheen St
Lewisburg, WV 24901
Phone (304) 520-0182

2140 Jefferson St N
Ste 200
Lewisburg, WV 24901
Phone (681) 484-7042

296 Fair St
Lewisburg, WV 24901
Phone (304) 647-4747

595 Spartan Ln
Lewisburg, WV 24901
Phone (304) 645-1052

390 Industrial Park Rd
Maxwelton, WV 24957
Phone (681) 318-3610

176 Medical Center Dr
Rainelle, WV 25962

205 Medical Center Dr
Rainelle, WV 25962
Phone (304) 438-1922

128 Community Ln
White Sulphur Springs, WV 24986
Phone (304) 536-2454

Interoperability endpoints

  • Direct secure messaging: destinyhayes@tdh.allscriptsdirect.net

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1316454549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "DESTINY",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "DP00945152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainelle, WV

Sources for this page

Verify at the official NPI Registry.