Individual provider Active NPI

Christina Ann Acheson-Hayes, L.C.S.W.

  • Clinical Social Worker
  • Flagstaff, AZ
National Provider Identifier
1790050532
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19621 Issued in AZ
Practice address
4724 S Dory TRL
Flagstaff, AZ 86005-8374
Phone
(631) 793-7728
Fax
(631) 793-7728
NPI assigned
Mar 13, 2012
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 079243-1 NY
Clinical Social Worker 1041C0700X 19621 AZ Primary

Addresses

Primary practice location

4724 S Dory TRL
Flagstaff, AZ 86005-8374

Mailing address

4724 S Dory TRL
Flagstaff, AZ 86005-8374
Phone (631) 793-7728

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
19621AZMDClinical Social Worker
079243-1NYMDSchool Social Worker

Interoperability endpoints

  • Direct secure messaging: christina.acheson-hayes.1@30520.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1790050532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 S DORY TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860058374",
            "telephone_number": "631-793-7728",
            "fax_number": "631-793-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 S DORY TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860058374",
            "telephone_number": "631-793-7728",
            "fax_number": "631-793-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHESON-HAYES",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "079243-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "19621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.