MEDICARE: MS. KENYATTE HAYES MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1164374187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KENYATTE HAYES MSW

Provider Business Mailing Address
First Line	:	22886 NW 196TH RD
Second Line	:
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32643-6391
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 NE 39TH AVE
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32609-2639
Country	:	US
Telephone Number	:	352-491-4444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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