Individual provider Active NPI

Tara Young Hayes, L.C.S.W.

  • Clinical Social Worker
  • Bay City, TX
National Provider Identifier
1801107180
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23037 Issued in TX
Practice address
1825 Sunset Ave
Bay City, TX 77414-4655
Phone
(979) 248-9683
NPI assigned
Jul 1, 2010
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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 23037 TX Primary

Addresses

Primary practice location

1825 Sunset Ave
Bay City, TX 77414-4655

Mailing address

1825 Sunset Ave
Bay City, TX 77414-4655
Phone (979) 248-9683

Other identifiers 1

IdentifierTypeStateIssuer
23037OtherTXSOCIAL WORK LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160525002485 TX Practitioner - Clinical Social Worker 7214226604 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23037TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Matagorda Episcopal Health Outreach Program CurrentSince Jun 4, 2018 Accepting new patients
Optum Behavioral Care of Texas, P.a. Clinical CurrentSince Oct 1, 2025 Accepting new patients
Matagorda Episcopal Health Outreach Program Corporation CurrentSince Jun 4, 2018 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients
Matagorda Episcopal Health Outreach Program PastSince Aug 25, 2019 Accepting new patients

Locations

1700 Golden Ave
Bay City, TX 77414

307 Green Ave
Ste A
Palacios, TX 77465
Phone 9792452008300

1311 W President George Bush Hwy
Richardson, TX 75080
Phone (214) 566-7766

1311 W President George Bush Hwy
Ste 100
Richardson, TX 75080

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1801107180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SUNSET AVE",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144655",
            "telephone_number": "979-248-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SUNSET AVE",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144655",
            "telephone_number": "979-248-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "TARA",
        "middle_name": "YOUNG",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "23037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "23037",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

Verify at the official NPI Registry.