Individual provider Active NPI

Barbara Kate Hayden, MSSW

  • Clinical Social Worker
  • Fredericksburg, TX
National Provider Identifier
1861558009
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S01500 Issued in TX
Practice address
103 N Llano St
Fredericksburg, TX 78624-4219
Phone
(830) 997-2103
Fax
(830) 997-2104
NPI assigned
Dec 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 S01500 TX Primary

Addresses

Primary practice location

103 N Llano St
Fredericksburg, TX 78624-4219

Mailing address

103 N Llano St
PO Box 326
Fredericksburg, TX 78624-4219
Phone (830) 997-2103

Other identifiers 1

IdentifierTypeStateIssuer
S01500OtherTXLCSW

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

State licenses

LicenseStateTypeSpecialty
S01500TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861558009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N LLANO ST",
            "address_2": "PO BOX 326",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244219",
            "telephone_number": "830-997-2103",
            "fax_number": "830-997-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N LLANO ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244219",
            "telephone_number": "830-997-2103",
            "fax_number": "830-997-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "BARBARA",
        "middle_name": "KATE",
        "name_prefix": "Ms.",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S01500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "S01500",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

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.

Verify at the official NPI Registry.