Matthew John Hayden, MA, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012396 Issued in IL

Practice address

1052 W Loyola Ave
Chicago, IL 60626-5206

Phone

(773) 508-8885

Fax

(773) 508-2740

NPI assigned

Mar 28, 2007

Sex

Male

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274486400000",
    "number": "1629197801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60487",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606600487",
            "telephone_number": "773-508-8885",
            "fax_number": "773-508-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 W LOYOLA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606265206",
            "telephone_number": "773-508-8885",
            "fax_number": "773-508-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MA, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hiroaki Hayashi, M.D.
• Kenneth Bruce Haydek, RPH
• Hayden Collective Health Counseling PLLC
• John P Hayden, MD
• Mary K Hayden, M.D.
• William Hayden, M.D.
• Rex Haydon
• Eve Haydt
• William Hayduk, PA-C, ND
• Tashana Cammille Haye, MD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2010; 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.