Carlos Gustavo Haber, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078750 Issued in NY

Practice address

4701 Queens Blvd Ste 405
Sunnyside, NY 11104-1623

Phone

(646) 641-9578

Fax

(347) 924-9807

NPI assigned

Oct 22, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catholic Guardian Services

  • Clinic/Center
  • Bronx, NY
  • NPI 1588186530
  NPD (past)
• Service Program for Older People

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1831644657
  NPD (past)
• Service Program for Older People, Inc

  • Geriatric Psychiatry Physician
  • New York, NY
  • NPI 1740211143
  NPD (past)
• The Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1972877017

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1013106566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD STE 405",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041623",
            "telephone_number": "646-641-9578",
            "fax_number": "347-924-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD STE 405",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041623",
            "telephone_number": "646-641-9578",
            "fax_number": "347-924-9807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104624504",
            "country_code": "US",
            "telephone_number": "718-239-1610",
            "fax_number": "718-239-9144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABER",
        "first_name": "CARLOS",
        "middle_name": "GUSTAVO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P57834",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenpoint Medical PC
• Greenpoint Pediatric PC
• GSSV Pharmacy Inc.
• Albert Guidice, LPN
• Haber Counseling LCSW PLLC
• Mirta I Haber, LMSW
• Mariah Carroll Hallbilsback, MA
• Zaid Hamdani, R.PH
• Rhahmina Hamid
• Hana Dental Care P.C.

• Clinical Social Worker in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.