Individual provider Active NPI

Kelly Ann Hayes, LICSW

  • Clinical Social Worker
  • Worcester, MA
National Provider Identifier
1356456065
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113934 Issued in MA
Practice address
275 Belmont St
Worcester, MA 01604-1675
Phone
(508) 421-4456
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 212309 MA
Clinical Social Worker 1041C0700X 113934 MA Primary

Addresses

Primary practice location

275 Belmont St
Worcester, MA 01604-1675

Mailing address

275 Belmont St
Worcester, MA 01604-1675
Phone (508) 421-4456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20130214000476 MA Practitioner - Clinical Social Worker 3577717867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Counseling LLCGroup PAC ID 2062662224, 2 clinicians

Practice addresses (Care Compare)

20 Main St
Suite 2D
Leominster, MA 01453-5512
Phone (978) 466-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113934MAMDClinical Social Worker
212309MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Counseling, LLC Clinical CurrentSince Dec 18, 2012 Accepting new patients

Locations

20 Main St
Ste 2D
Leominster, MA 01453
Phone (978) 466-5777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1356456065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041675",
            "telephone_number": "508-421-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041675",
            "telephone_number": "508-421-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "212309",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.