Carol June Hayse, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.011839 Issued in IL

Practice address

7448 N Damen Ave
Chicago, IL 60645-2258

Phone

(773) 465-6430

NPI assigned

Dec 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1356393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356393600000",
    "number": "1780920579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7448 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452258",
            "telephone_number": "773-465-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7448 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452258",
            "telephone_number": "773-465-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYSE",
        "first_name": "CAROL",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-25",
        "last_updated": "2012-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "149.011839",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011839",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "1938754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Hays, D.C.
• Pamela Lynne Hays, CD
• Sara Hays
• Sarah Bradley Hays
• Taren Kendrick Hays, PMHPNP-BC
• McKayla Hayse, MSW
• Kimberly Hayward
• Haywood Walton Therapeutic Services PLLC
• Ashley Suzanne Haywood
• Carol Haywood, MOTR/L

• 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 Dec 25, 2012; 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.