Active NPI
Tracy Haynes, LMSW
- Social Worker
- Hobbs, NM
National Provider Identifier
1326443623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-08361
- Practice address
- 215 W Broadway St
Suite #1
Hobbs, NM 88240-6065 - Phone
- (575) 393-0692
- Fax
- (575) 393-0796
- NPI assigned
- Oct 29, 2014
- Last updated
- Oct 29, 2014
- 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 | M-08361 | NM | Primary |
Addresses
Primary practice location
215 W Broadway St
Suite #1
Hobbs, NM 88240-6065
Mailing address
215 W Broadway St
Suite #1
Hobbs, NM 88240-6065
Phone (575) 393-0692
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 |
|---|---|---|---|
| M-08361 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zia Consulting, Inc. | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1326443623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W BROADWAY ST",
"address_2": "SUITE #1",
"city": "HOBBS",
"state": "NM",
"postal_code": "882406065",
"telephone_number": "575-393-0692",
"fax_number": "575-393-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W BROADWAY ST",
"address_2": "SUITE #1",
"city": "HOBBS",
"state": "NM",
"postal_code": "882406065",
"telephone_number": "575-393-0692",
"fax_number": "575-393-0796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "TRACY",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-08361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.