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KAREN HAYES LCSW
NPI 1427477652
Social Worker - Clinical in Wildwood, FL

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
601 WEBSTER ST, WILDWOOD, FL 34785(352) 350-5552(352) 324-4000 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Hayes Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN HAYES LCSW (NPI 1427477652) is an individual clinical provider in Wildwood, Florida, licensed in Florida (SW11634) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1427477652
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAREN HAYESCredential: LCSW
Location Address601 WEBSTER STWildwood, FL 34785-3828
Mailing Address111 Island DrHowey In The Hills, FL 34737-3940 · (352) 350-5552 · Fax (352) 324-4000
Phone(352) 350-5552
Fax(352) 324-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateApril 15, 2014
Last NPPES UpdateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1427477652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW11634
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
601 WEBSTER ST, Wildwood, FL 34785
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare, Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Hayes Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698086676
PECOS Enrollment IDI20150617001525
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34785 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY MARGARET WHEELER LCSW
Social Worker (Clinical)
601 WEBSTER ST
WILDWOOD, FL 34785
Sumter County (352) 391-8852
DR. AIXA L LONG PSY.D.
Psychologist (Clinical)
601 WEBSTER ST
WILDWOOD, FL 34785
Sumter County (813) 784-7340
DR. AIXA LONG
Psychologist (Clinical)
601 WEBSTER ST
WILDWOOD, FL 34785
Sumter County (352) 432-8892
DR. AIXA LONG PLLC
Psychologist (Clinical)
601 WEBSTER ST
WILDWOOD, FL 34785
Sumter County (352) 432-8892

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 Karen Hayes's NPI number?

The NPI number for Karen Hayes is 1427477652. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Karen Hayes located?

Karen Hayes practices at 601 Webster St, Wildwood, FL 34785. The listed phone number is (352) 350-5552.

What is Karen Hayes's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Karen Hayes enrolled in Medicare?

Yes. Karen Hayes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Hayes accept?

Health plans from Providence Health Plan, UnitedHealthcare and Wellpoint list Karen Hayes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Hayes was last updated on December 9, 2021. 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.