Individual provider Active NPI

Helen Hayes

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1497974927
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW64796 Issued in CA
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

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
LCSW64796CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeologie San Diego CurrentSince Feb 7, 2021 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.

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.

Verify at the official NPI Registry.