Individual provider Active NPI

Joi Haynes, LCSW

  • Clinical Social Worker
  • Country Club Hills, IL
National Provider Identifier
1407574189
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149027980 Issued in IL
Practice address
4053 183Rd St Unit 2007
Country Club Hills, IL 60478-3400
Phone
(773) 440-2458
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 149027980 IL Primary

Addresses

Primary practice location

4053 183Rd St Unit 2007
Country Club Hills, IL 60478-3400

Mailing address

4814 Sunset LN
Country Club Hills, IL 60478-4574
Phone (773) 440-2458

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

LicenseStateTypeSpecialty
149027980ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reframing Therapy Clinical CurrentSince Dec 15, 2024 Accepting new patients

Locations

4053 183rd St
Unit 2007
Country Club Hills, IL 60478
Phone (773) 440-2458

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1407574189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 SUNSET LN",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604784574",
            "telephone_number": "773-440-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 183RD ST UNIT 2007",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604783400",
            "telephone_number": "773-440-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "JOI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Country Club Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.