Provider Demographics
NPI:1598817942
Name:HAYES, MICHAEL ERNEST (PHD, MSW)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ERNEST
Last Name:HAYES
Suffix:
Gender:M
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 S ROOSEVELT BLVD APT 403W
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-5275
Mailing Address - Country:US
Mailing Address - Phone:305-293-4806
Mailing Address - Fax:305-296-6337
Practice Address - Street 1:1434 KENNEDY DR
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4008
Practice Address - Country:US
Practice Address - Phone:305-293-4806
Practice Address - Fax:305-296-6337
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTLCSW 000 20291041C0700X
FL87971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT140002029OtherBLUE CROSS
FL0800097OtherMHN
CTP584479OtherOXFORD
CT140002029OtherBLUE CROSS