Provider Demographics
NPI:1275668618
Name:HAYES, SARAH ELISABETH (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ELISABETH
Last Name:HAYES
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E GILBERT ST
Mailing Address - Street 2:COTTAGE 4
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92415-0920
Mailing Address - Country:US
Mailing Address - Phone:909-387-7000
Mailing Address - Fax:909-387-7611
Practice Address - Street 1:900 E GILBERT ST
Practice Address - Street 2:COTTAGE 4
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92415-0920
Practice Address - Country:US
Practice Address - Phone:909-387-7000
Practice Address - Fax:909-387-7611
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 279361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical