Wardeh Carlos Hattab, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084631 Issued in NY

Practice address

226 W 26TH St FL 8
Suite 12
New York, NY 10001-6700

Phone

(937) 771-1037

NPI assigned

Jun 5, 2012

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1073874186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W 26TH ST FL 8",
            "address_2": "SUITE 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016700",
            "telephone_number": "937-771-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W 26TH ST FL 8",
            "address_2": "SUITE 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016700",
            "telephone_number": "937-771-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTAB",
        "first_name": "WARDEH",
        "middle_name": "CARLOS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084631",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "084631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Hatgis, L.AC.
• Bridgette K Hathaway, LCSW
• Feighanne Hathaway, MS
• Jenna Hathaway
• Maya Grace Hatley
• Alyssa Mae Hattem, M.A., CCC-SLP
• Kelsey Hatter, OTR/L
• Julie Anne Hatterer, MD
• Maiko Anne Hattori, L.AC.
• Muneo Hattori, M.D.

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.