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NPI Code Detail

MEDICARE: AMY HAYES LCSW

MEDICARE: AMY HAYES LCSW
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
11041C0700XClinical Social Worker65924CA

General Provider Information

NPI Number : 1184000242
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY HAYES LCSW
Provider Business Mailing Address
First Line : 1156 N 4TH ST
Second Line : ABODE SERVICES
City : SAN JOSE
State : CA
Zip : 95112-4900
Country : US
Telephone Number : 408-332-8780
Fax Number :
Provider Business Practice Location Address
First Line : 1156 N 4TH ST
Second Line : ABODE SERVICES
City : SAN JOSE
State : CA
Zip : 95112-4900
Country : US
Telephone Number : 408-332-8780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2015
Last Update Date : 07/30/2015

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Directions to “ AMY HAYES LCSW” Practice Location

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