Provider Demographics
NPI:1609996834
Name:HAYNES, JOYCE F (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:F
Last Name:HAYNES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:26937 HAYWARD BLVD
Mailing Address - Street 2:334
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94542-2055
Mailing Address - Country:US
Mailing Address - Phone:510-784-4818
Mailing Address - Fax:510-784-4990
Practice Address - Street 1:27400 HESPERIAN BLVD.
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-4235
Practice Address - Country:US
Practice Address - Phone:510-784-4818
Practice Address - Fax:510-784-4990
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS164031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAUPINMedicare UPIN