Vince Haba Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00594700 Issued in NJ

Practice address

819 Alexander Rd
Princeton, NJ 08540-6303

Phone

(609) 452-2088

Fax

(609) 452-0627

NPI assigned

Aug 29, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Association for Advancement of Mental Health

  • Community/Behavioral Health Agency
  • Princeton, NJ
  • NPI 1215089487
  NPD Authorized official

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1093549263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 ALEXANDER RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406303",
            "telephone_number": "609-452-2088",
            "fax_number": "609-452-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 ALEXANDER RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406303",
            "telephone_number": "609-452-2088",
            "fax_number": "609-452-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABA",
        "first_name": "VINCE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00594700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot J. Gursky, MD
• Amelia Guth, BCBA
• Walter T. Gutowski III, M.D.
• Lewis S Guttesman, DPM
• Rachel Gyurcsak
• Mary Forman Habib, MS/OTR
• Christopher John Hadfield, LCSW
• Salwa Sarah Haj-Ibrahim, NP
• Paula Marie Hale, MD
• Catherine Hall, LCSW

• Clinical Social Worker in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.