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HAYLEY HATHAWAY LMSW
NPI 1639931470
Social Worker in Los Ranchos, NM

Active since January 26, 2024PECOS Enrolled
6501 4TH ST NW STE H, LOS RANCHOS, NM 87107(505) 433-7561 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hayley Hathaway Lmsw NPPES

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

HAYLEY HATHAWAY LMSW (NPI 1639931470) is an individual social worker in Los Ranchos, New Mexico, licensed in New Mexico (SWB-2024-1055) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639931470
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameHAYLEY HATHAWAYCredential: LMSW
Location Address6501 4TH ST NW STE HLos Ranchos, NM 87107-5800
Mailing Address6501 4th St Nw Ste HLos Ranchos, NM 87107-5800
Phone(505) 433-7561
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 26, 2024
Last NPPES UpdateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
✔ NPI 1639931470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NM · SWB-2024-1055
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
6501 4TH ST NW STE H, Los Ranchos, NM 87107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hayley Hathaway Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991202343
PECOS Enrollment IDI20251010000050
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.

Medicare Billing Reassignment

Medicare enrollment records show Hayley Hathaway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wild Magnolia Wellness
Same address
Community/Behavioral Health
6501 4TH ST NW STE H-5
Los Ranchos, NM 87107
  • Reassigned Medicare billing, New Mexico enrollment
  • 7 clinicians in this Medicare group
NPI 1255820205 (505) 274-0112

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

MARGARET MCINTYRE MATTEUCCI MA, NCC, LMHC, CCISM
Counselor (Professional)
6501 4TH ST NW STE H
LOS RANCHOS, NM 87107
Bernalillo County (505) 433-7561
SHERRY LYNN LEBEZNICK BROWN MSW
Social Worker (Clinical)
6501 4TH ST NW STE H
LOS RANCHOS, NM 87107
Bernalillo County (505) 730-6735
A SHARED PATH LLC
Social Worker (Clinical)
6501 4TH ST NW STE H
LOS RANCHOS, NM 87107
Bernalillo County (505) 730-6735

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 Hayley Hathaway's NPI number?

The NPI number for Hayley Hathaway is 1639931470. It was assigned to this individual provider in the NPPES registry on January 26, 2024.

Where is Hayley Hathaway located?

Hayley Hathaway practices at 6501 4th St NW Ste H, Los Ranchos, NM 87107. The listed phone number is (505) 433-7561.

What is Hayley Hathaway's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Hayley Hathaway enrolled in Medicare?

Yes. Hayley Hathaway is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hayley Hathaway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hayley Hathaway reassigns Medicare benefits to Wild Magnolia Wellness (Los Ranchos, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hayley Hathaway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hayley Hathaway was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.