Provider Demographics
NPI:1285257584
Name:HAYES, DANA ROSE (LCSW)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:ROSE
Last Name:HAYES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1159 GALWAY CT
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-9164
Mailing Address - Country:US
Mailing Address - Phone:732-991-3140
Mailing Address - Fax:
Practice Address - Street 1:1159 GALWAY CT
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-9164
Practice Address - Country:US
Practice Address - Phone:732-991-3140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-20
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0236041041C0700X
SC151081041C0700X
NJ44SC060376001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical