MR. MATTHEW TERRY HAYNES
NPI 1225308711
Social Worker - Clinical in Walnut Creek, CA
About Mr. Matthew Terry Haynes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MATTHEW TERRY HAYNES (NPI 1225308711) is an individual clinical provider in Walnut Creek, California, licensed in California (LCSW79323) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Jose.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Matthew Terry Haynes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94596 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Matthew Haynes's NPI number?
The NPI number for Matthew Haynes is 1225308711. It was assigned to this individual provider in the NPPES registry on December 30, 2011.
Where is Matthew Haynes located?
Matthew Haynes practices at 710 S Broadway Ste 300, Walnut Creek, CA 94596. The listed phone number is (925) 295-3980.
What is Matthew Haynes's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Matthew Haynes enrolled in Medicare?
Yes. Matthew Haynes is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Matthew Haynes was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Matthew Terry Haynes · NPI 1225308711
Clinical provider in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since December 30, 2011.
## Identity
- **NPI:** 1225308711 (Entity type: Individual)
- **Enumerated:** December 30, 2011
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCSW79323 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 710 S BROADWAY STE 300, Walnut Creek, CA 94596-5229
- **Phone:** (925) 295-3980
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** February 11, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1225308711) · Data from the CMS NPPES public registry.