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NPI Code Detail

MEDICARE: LILY HAYNES LICSW

MEDICARE: LILY HAYNES LICSW
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 WorkerCSW.09929973CO
21041C0700XClinical Social WorkerLICSW127470MA

General Provider Information

NPI Number : 1982357067
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILY HAYNES LICSW
Provider Business Mailing Address
First Line : 2795 W ELLSWORTH AVE
Second Line :
City : DENVER
State : CO
Zip : 80219-1618
Country : US
Telephone Number : 850-797-0585
Fax Number :
Provider Business Practice Location Address
First Line : 2150 W 29TH AVE STE 135
Second Line :
City : DENVER
State : CO
Zip : 80211-3869
Country : US
Telephone Number : 850-797-0585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2022
Last Update Date : 10/30/2025

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Directions to “ LILY HAYNES LICSW” Practice Location

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