Provider Demographics
NPI:1497027916
Name:HAYES, SARAH LYNNE (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNNE
Last Name:HAYES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LYNNE
Other - Last Name:FREALY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23 CALOTTE PL
Mailing Address - Street 2:
Mailing Address - City:FOOTHILL RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92610-2615
Mailing Address - Country:US
Mailing Address - Phone:949-728-8616
Mailing Address - Fax:
Practice Address - Street 1:23 CALOTTE PL
Practice Address - Street 2:
Practice Address - City:FOOTHILL RANCH
Practice Address - State:CA
Practice Address - Zip Code:92610-2615
Practice Address - Country:US
Practice Address - Phone:949-728-8616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 27842104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker