Individual provider Active NPI

Grace Kelly Hayden, LMSW

  • Social Worker
  • Salisbury, MD
National Provider Identifier
1477282473
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
28647 Issued in MD
Practice address
809 Eastern Shore Dr
Salisbury, MD 21804-5934
Phone
(844) 224-5264
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 28647 MD Primary

Addresses

Primary practice location

809 Eastern Shore Dr
Salisbury, MD 21804-5934

Mailing address

107 Gurney Dr
Fruitland, MD 21826-1314
Phone (410) 353-7518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20251229002511 VA Practitioner - Clinical Social Worker 7012403181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 Jackson St
Fredericksburg, VA 22401-5719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28647MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rappahannock Area Community Services Board CurrentSince Nov 26, 2025 Accepting new patients

Locations

600 Jackson St
Fredericksburg, VA 22401
Phone (540) 373-3223

7424 Brock Rd
Spotsylvania, VA 22553
Phone (540) 582-3980

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1477282473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GURNEY DR",
            "city": "FRUITLAND",
            "state": "MD",
            "postal_code": "218261314",
            "telephone_number": "410-353-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045934",
            "telephone_number": "844-224-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "GRACE",
        "middle_name": "KELLY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "28647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.