Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1912980558 Deactivated / Inactive NPI Female Practitioner

Sandra K Haynes , LCSW

Social Worker - Clinical • St Augustine, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sandra Haynes has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2005
NPI Deactivation Date September 19, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Sandra Haynes, LCSW was a registered Social Worker - Clinical practicing in St Augustine, FL. Throughout an active medical career spanning 12 years, Sandra Haynes provided care at the practice location at 9 SAINT JOHNS MEDICAL PK DR until profile deactivation on 2017-09-19.

Practice Location & Contact Primary Location

Practice Address

9 Saint Johns Medical Pk Dr

St Augustine, FL 320865343

Telephone 9047972705
Fax 9047972820
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.3 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
90 Specialists

Practicing in St Augustine, FL (13861 Statewide)

Telehealth Adoption Rate
8.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License FL SW900

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Michael Meehan , LCSW

Social Worker - Clinical

NPI 1063496453

Licensed Clinical Social Worker

Dr. Glenn Goldberg , PhD

Psychologist - Clinical

NPI 1093798936

Doctor of Philosophy (Ph.D.)

Ralph Wyman , LMHC

Counselor - Mental Health

NPI 1487946430

Licensed Mental Health Counselor

Dr. Stuart Townsend , PhD

Psychologist - Clinical

NPI 1497037774

Doctor of Philosophy (Ph.D.)

Dr. Vanessa Townsend , PsyD

Psychologist - Clinical

NPI 1548439912

Doctor of Psychology (Psy.D.)

Dr. Melanie Nuszkowski , PhD

Psychologist - Clinical

NPI 1558643833

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 19, 2017

Record deactivated on September 19, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 9 SAINT JOHNS MEDICAL PK DR, ST AUGUSTINE, FL 320865343 (Tel: 9047972705)

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Updated Business Mailing Address July 08, 2007

Registered at 9 SAINT JOHNS MEDICAL PK DR, ST AUGUSTINE, FL 320865343 (Tel: 9047972705)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SANDRA HAYNES, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #SW900 in FL)

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Initial NPI Registration & Enumeration November 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912980558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2005
Last Update: July 08, 2007
Deactivation Date: September 19, 2017

Mailing Address

9 Saint Johns Medical Pk Dr

St Augustine, FL 320865343

Phone: 9047972705

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.