Jessica Carlon Haywood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115028 Issued in CA

Practice address

2266 Cazador Drive
Unit 12
Los Angeles, CA 90065-2047

Phone

(352) 205-0577

NPI assigned

Jun 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1497439061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291341",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900299341",
            "telephone_number": "352-205-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 CAZADOR DRIVE",
            "address_2": "UNIT 12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900652047",
            "telephone_number": "352-205-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "JESSICA",
        "middle_name": "CARLON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "115028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haywood Hall M.D., P.C.
• Amanda Haywood
• Daphne Haywood I
• Diamond Haywood
• Emily Haywood
• Kathy Haywood
• Latina Haywood
• Shaynell Natashaw Haywood
• Hayworth Properties,LLC
• Sunaz Hazaie, PHARMD

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.