Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaquesha Mone't Haynes, LCSW

Individual provider Clinical Social Worker · NPI 1477286938

Jaquesha Mone't Haynes, LCSW is a Clinical Social Worker in Winston Salem, North Carolina. Qualified in 2020, 6 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

175 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6951
Phone: (336) 718-3550
Fax: (336) 277-6981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 231 N Spring St, Greensboro, NC 27401-2231 — (336) 899-8800

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C017683 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence P015803 (NC)

Record details

NPI number1477286938
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 2, 2022
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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