Individual provider Active NPI

David D Haynik, LCSW

  • Clinical Social Worker
  • West Hollywood, CA
National Provider Identifier
1679732648
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
86555 Issued in CA
Practice address
7211 Santa Monica Blvd Ste 400
West Hollywood, CA 90046-6790
Phone
(323) 252-3494
Fax
(323) 284-0297
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8406 LA
Clinical Social Worker 1041C0700X 86555 CA Primary

Addresses

Primary practice location

7211 Santa Monica Blvd Ste 400
West Hollywood, CA 90046-6790

Mailing address

7211 Santa Monica Blvd Ste 400
West Hollywood, CA 90046-6790
Phone (323) 252-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200818000831 CA Practitioner - Clinical Social Worker 5092131391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7211 Santa Monica Blvd
Suite 400
West Hollywood, CA 90046-6790
Phone (323) 252-9494

7320 Santa Monica Blvd
Apt 404
West Hollywood, CA 90046-6688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David Haynik Licensed Clinical Social Worker PC Clinical CurrentSince Jul 6, 2020 Accepting new patients

Locations

7211 Santa Monica Blvd
Ste 400
West Hollywood, CA 90046
Phone (323) 252-3494

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1679732648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 SANTA MONICA BLVD STE 400",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466790",
            "telephone_number": "323-252-3494",
            "fax_number": "323-284-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 SANTA MONICA BLVD STE 400",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466790",
            "telephone_number": "323-252-3494",
            "fax_number": "323-284-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNIK",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8406",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.