Active NPI
Andrea D. Hayes, L.C.S.W.
- Clinical Social Worker
- Sonora, CA
National Provider Identifier
1902928336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS20923
- Practice address
- 101 S Forest Rd
Sonora, CA 95370-4895 - Phone
- (209) 338-7829
- Fax
- (209) 532-3929
- NPI assigned
- Apr 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS20923 | CA | Primary |
Addresses
Primary practice location
101 S Forest Rd
Sonora, CA 95370-4895
Mailing address
PO Box 3783
Sonora, CA 95370-3783
Phone (209) 338-7829
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS20923 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902928336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3783",
"city": "SONORA",
"state": "CA",
"postal_code": "953703783",
"telephone_number": "209-338-7829",
"fax_number": "209-532-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S FOREST RD",
"city": "SONORA",
"state": "CA",
"postal_code": "953704895",
"telephone_number": "209-338-7829",
"fax_number": "209-532-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "ANDREA",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS20923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sonora, CA
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.