Provider Demographics
NPI:1962132464
Name:HAYES, CASEY EILEEN
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:EILEEN
Last Name:HAYES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 GAP CREEK RD APT H
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-8559
Mailing Address - Country:US
Mailing Address - Phone:804-517-5072
Mailing Address - Fax:
Practice Address - Street 1:296 GAP CREEK RD
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-8557
Practice Address - Country:US
Practice Address - Phone:804-517-5072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker