Active NPI
Yvonne Patricia Haynes, LCSW
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1841379906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001985
- Practice address
- 107 S 5TH St
Richmond, VA 23219-3825 - Phone
- (804) 819-4193
- Fax
- (804) 819-4250
- NPI assigned
- Nov 2, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904001985 | VA | Primary |
Addresses
Primary practice location
107 S 5TH St
Richmond, VA 23219-3825
Mailing address
11718 Westbury Bluff Dr
Midlothian, VA 23114-5177
Phone (804) 378-9127
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841379906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11718 WESTBURY BLUFF DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231145177",
"telephone_number": "804-378-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S 5TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232193825",
"telephone_number": "804-819-4193",
"fax_number": "804-819-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "YVONNE",
"middle_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904001985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.