Active NPI
Sandra Mary Hayden, LCSW
- Social Worker
- Fullerton, CA
National Provider Identifier
1831381490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS23303
- Practice address
- 111 W Bastanchury Rd 1a
Fullerton, CA 92835-2527 - Phone
- (714) 773-4111
- Fax
- (714) 773-4222
- NPI assigned
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCS23303 | CA | Primary |
Addresses
Primary practice location
111 W Bastanchury Rd 1a
Fullerton, CA 92835-2527
Mailing address
111 W Bastanchury Rd 1a
Fullerton, CA 92835-2527
Phone (714) 773-4111
Other names 1
- Mrs. Sandra Mary Healy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
140 E Commonwealth Ave
Suite 101
Fullerton, CA 92832-1905
Phone (714) 773-4111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS23303 | CA | MD | Social Worker |
| 23303 | CA | MD | Family Nurse Practitioner |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Fullerton, CA
- NPI 1467551200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1831381490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W BASTANCHURY RD 1A",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928352527",
"telephone_number": "714-773-4111",
"fax_number": "714-773-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W BASTANCHURY RD 1A",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928352527",
"telephone_number": "714-773-4111",
"fax_number": "714-773-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN",
"first_name": "SANDRA",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS23303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "HEALY",
"middle_name": "MARY",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.