Provider Demographics
NPI:1972545044
Name:HAYS, TRINA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:TRINA
Middle Name:
Last Name:HAYS
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 1:1303 EDGEWOOD DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65109-1943
Mailing Address - Country:US
Mailing Address - Phone:573-636-6727
Mailing Address - Fax:573-761-5819
Practice Address - Street 1:2625 FAIRWAY DR
Practice Address - Street 2:SUITE E
Practice Address - City:FULTON
Practice Address - State:MO
Practice Address - Zip Code:65251-3936
Practice Address - Country:US
Practice Address - Phone:573-642-1775
Practice Address - Fax:573-642-1850
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060006111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490241106Medicaid