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NPI Code Detail

MEDICARE: LISA ARIETA HAYES LCSW

MEDICARE: LISA ARIETA 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 WorkerLCS15103CA

General Provider Information

NPI Number : 1285782672
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ARIETA HAYES LCSW
Provider Business Mailing Address
First Line : 6620 VIA DEL ORO
Second Line :
City : SAN JOSE
State : CA
Zip : 95119-1392
Country : US
Telephone Number : 408-360-2302
Fax Number : 408-360-2397
Provider Business Practice Location Address
First Line : 6620 VIA DEL ORO
Second Line : #280
City : SAN JOSE
State : CA
Zip : 95119-1392
Country : US
Telephone Number : 408-287-6200
Fax Number : 408-998-1535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 01/11/2022

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Directions to “ LISA ARIETA HAYES LCSW” Practice Location

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