Provider Demographics
NPI:1861558009
Name:HAYDEN, BARBARA KATE (MSSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:KATE
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 N LLANO ST
Mailing Address - Street 2:PO BOX 326
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-4219
Mailing Address - Country:US
Mailing Address - Phone:830-997-2103
Mailing Address - Fax:830-997-2104
Practice Address - Street 1:103 N LLANO ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-4219
Practice Address - Country:US
Practice Address - Phone:830-997-2103
Practice Address - Fax:830-997-2104
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS015001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS01500OtherLCSW
TXS01500OtherLCSW