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NPI Code Detail

MEDICARE: JOANNA HAYDON LCSW

MEDICARE: JOANNA HAYDON 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 Worker149.031609IL

General Provider Information

NPI Number : 1306689971
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA HAYDON LCSW
Provider Business Mailing Address
First Line : 1034 S BRENTWOOD BLVD STE 555
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1265
Country : US
Telephone Number : 630-803-7831
Fax Number :
Provider Business Practice Location Address
First Line : 1034 S BRENTWOOD BLVD STE 555
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1265
Country : US
Telephone Number : 630-803-7831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2024
Last Update Date : 04/09/2026

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Directions to “ JOANNA HAYDON LCSW” Practice Location

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