Provider Demographics
NPI:1083725733
Name:HAYES, BARBARA M (LCSW ACSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:M
Last Name:HAYES
Suffix:
Gender:F
Credentials:LCSW ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 N WEST STREET
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187
Mailing Address - Country:US
Mailing Address - Phone:630-668-5700
Mailing Address - Fax:630-510-8941
Practice Address - Street 1:2100 MANCHESTER RD
Practice Address - Street 2:SUITE 975
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187
Practice Address - Country:US
Practice Address - Phone:630-668-5700
Practice Address - Fax:630-510-8941
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02232280OtherBLUE CROSS BLUE SHIELD