Kristen D Hayes, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001294 Issued in MO

Practice address

1411 Rollins Rd
Columbia, MO 65203-2376

Phone

(573) 449-5999

NPI assigned

May 15, 2006

Last updated

Mar 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kristen D Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1831140631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 ROLLINS RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032376",
            "telephone_number": "573-449-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 ROLLINS RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032376",
            "telephone_number": "573-449-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "KRISTEN",
        "middle_name": "D",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "001294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14187456",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496829417",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "LEWIS",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kirsten Kelly Havig, LCSW, PHD
• Wayne R Hawks, D.M.D.
• Laura Antonia Hayden, PA
• Cynthia S Hayes, M.D.
• Emmit Wagar Hayes, MD
• Kylie Hayes, BS
• Laura Hayes
• Mandy Lynn Hayes, MD
• Richard J Hayes, LPC
• Courtney Alexis Haynes, MSW, LCSW

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.