Individual provider Active NPI

Karen Hayes, LCSW

  • Clinical Social Worker
  • Wildwood, FL
National Provider Identifier
1427477652
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11634 Issued in FL
Practice address
601 Webster St
Wildwood, FL 34785-3828
Phone
(352) 350-5552
Fax
(352) 324-4000
NPI assigned
Apr 15, 2014
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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 SW11634 FL Primary

Addresses

Primary practice location

601 Webster St
Wildwood, FL 34785-3828

Mailing address

111 Island Dr
Howey in the Hills, FL 34737-3940
Phone (352) 350-5552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150617001525 FL Practitioner - Clinical Social Worker 5698086676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Webster St
Wildwood, FL 34785-3828
Phone (305) 438-8074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Hayes, LCSW Inc. CurrentSince Nov 19, 2014 Accepting new patients

Locations

9380 Sunset Dr
Ste B238
Miami, FL 33173
Phone (305) 271-6772

601 Webster St
Wildwood, FL 34785
Phone (352) 322-2169

Networks

  • Freedom Health HMO Network

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1427477652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ISLAND DR",
            "city": "HOWEY IN THE HILLS",
            "state": "FL",
            "postal_code": "347373940",
            "telephone_number": "352-350-5552",
            "fax_number": "352-324-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WEBSTER ST",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347853828",
            "telephone_number": "352-350-5552",
            "fax_number": "352-324-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

Verify at the official NPI Registry.