Courtney Lynn Hayes, LMSW
Individual provider Active NPI Social Worker · Endwell, NY
NPI 1548030752 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1548030752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 110415 (NY)
- Practice address
- 3001 E Main St
Endwell, NY 13760-5843 - Phone
- (607) 754-2660
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110415 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Counseling Center of the Southern Tier Inc | Current |
Accepting new patients |
Locations
3001 E Main St
Endwell, NY 13760
Phone (607) 754-2660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 110415 | NY | Yes |
Addresses
Primary practice location
3001 E Main St
Endwell, NY 13760-5843
Mailing address
19 Teeburn Blvd
Binghamton, NY 13901-6118
Phone (607) 237-5425
Other providers in Endwell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.