Individual provider Active NPI

Deana Suzanne Woodruff Haynes, LCSW

  • Clinical Social Worker
  • Daytona Beach, FL
National Provider Identifier
1740995075
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW25305 Issued in FL
Practice address
1060 Pelican Bay Dr
Daytona Beach, FL 32119-9700
Phone
(386) 868-1992
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW25305 FL Primary

Addresses

Primary practice location

1060 Pelican Bay Dr
Daytona Beach, FL 32119-9700

Mailing address

608 Asheville Springs Cir
Asheville, NC 28806-8899
Phone (386) 846-2522

Other practice location 1

1210 Olen Dr
Daytona Beach, FL 32117-3027
Phone (386) 846-2522

Other practice location 2

140 S Beach St
Daytona Beach, FL 32114-4472
Phone (386) 747-6541

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
SW25305FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1740995075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 ASHEVILLE SPRINGS CIR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288068899",
            "telephone_number": "386-846-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 PELICAN BAY DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321199700",
            "telephone_number": "386-868-1992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Olen Dr",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321173027",
            "country_code": "US",
            "telephone_number": "386-846-2522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 S Beach St",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321144472",
            "country_code": "US",
            "telephone_number": "386-747-6541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "DEANA",
        "middle_name": "SUZANNE WOODRUFF",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.