Active NPI
Lily Haynes, LICSW
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1982357067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09929973
- Practice address
- 2150 W 29TH Ave Ste 135
Denver, CO 80211-3869 - Phone
- (850) 797-0585
- NPI assigned
- Jan 30, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09929973 | CO | Primary |
| Clinical Social Worker | 1041C0700X | LICSW127470 | MA |
Addresses
Primary practice location
2150 W 29TH Ave Ste 135
Denver, CO 80211-3869
Mailing address
2795 W Ellsworth Ave
Denver, CO 80219-1618
Phone (850) 797-0585
Other names 1
- Lily Hall
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 |
|---|---|---|---|
| CSW.09929973 | CO | MD | Clinical Social Worker |
| LICSW127470 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1982357067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2795 W ELLSWORTH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802191618",
"telephone_number": "850-797-0585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 W 29TH AVE STE 135",
"city": "DENVER",
"state": "CO",
"postal_code": "802113869",
"telephone_number": "850-797-0585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "LILY",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-30",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09929973",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW127470",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILY",
"last_name": "HALL",
"credential": "LICSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.