Provider Demographics
NPI:1457141103
Name:HAY, CARRIE (LSW)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:HAY
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14717A N 740 EAST RD
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:61858-9410
Mailing Address - Country:US
Mailing Address - Phone:217-649-3663
Mailing Address - Fax:
Practice Address - Street 1:1809 WOODFIELD DR STE B
Practice Address - Street 2:
Practice Address - City:SAVOY
Practice Address - State:IL
Practice Address - Zip Code:61874-9553
Practice Address - Country:US
Practice Address - Phone:217-262-9975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.111244104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker