Provider Demographics
NPI:1427223866
Name:HAYES, SHARLAMAINE CONSTANCE (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:SHARLAMAINE
Middle Name:CONSTANCE
Last Name:HAYES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CONNIE
Other - Middle Name:
Other - Last Name:BEARD-HAYES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:3637 SNELL AVE
Mailing Address - Street 2:SUITE 331
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95136-1337
Mailing Address - Country:US
Mailing Address - Phone:408-835-5530
Mailing Address - Fax:408-226-8875
Practice Address - Street 1:3637 SNELL AVE
Practice Address - Street 2:SUITE 331
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95136-1337
Practice Address - Country:US
Practice Address - Phone:408-835-5530
Practice Address - Fax:408-226-8875
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS161971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical