Provider Demographics
NPI:1871802504
Name:HAYES, KEVIN FRANCIS (LCSW)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:FRANCIS
Last Name:HAYES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 71ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1301
Mailing Address - Country:US
Mailing Address - Phone:718-680-2870
Mailing Address - Fax:718-234-2314
Practice Address - Street 1:8620 18TH AVE
Practice Address - Street 2:SBPC BENSONHURST OP
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-3702
Practice Address - Country:US
Practice Address - Phone:718-256-8818
Practice Address - Fax:718-234-2314
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071371-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical