Active NPI
Helen Hayes
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1497974927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW64796
- Practice address
- 3295 Meade Ave
San Diego, CA 92116-4557 - Phone
- (619) 450-1848
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 16616 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW64796 | CA | Primary |
Addresses
Primary practice location
3295 Meade Ave
San Diego, CA 92116-4557
Mailing address
3188 Franklin Ave
San Diego, CA 92113-1429
Phone (323) 229-2185
Other practice location 1
4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone (323) 432-4185
Other names 1
- Helen Hayes Moses
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW64796 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeologie San Diego | Current | Accepting new patients |
Locations
3295 Meade Ave
San Diego, CA 92116
Phone (619) 493-0541
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1366040396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1497974927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3188 FRANKLIN AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921131429",
"telephone_number": "323-229-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3295 MEADE AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921164557",
"telephone_number": "619-450-1848"
}
],
"practiceLocations": [
{
"address_1": "4211 Avalon Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900115622",
"country_code": "US",
"telephone_number": "323-432-4185",
"fax_number": "323-432-5086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYES",
"first_name": "HELEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "16616",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW64796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HELEN",
"last_name": "MOSES",
"middle_name": "HAYES",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.