Active NPI
Susan D. Haugh, LCSW
- Mental Health Counselor
- Norfolk, VA
National Provider Identifier
1144253329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0904002703
- Practice address
- 601 Childrens LN
4TH Floor, Social Work Dept.
Norfolk, VA 23507-1910 - Phone
- (757) 668-7930
- Fax
- (757) 668-7950
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0904002703 | VA | Primary |
Addresses
Primary practice location
601 Childrens LN
4TH Floor, Social Work Dept.
Norfolk, VA 23507-1910
Mailing address
448 Hariton CT
Norfolk, VA 23505-3331
Phone (757) 440-9022
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O88892 | Other | VA | SENTARA |
| 010---7861 | Medicaid | VA | |
| 431649 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904002703 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1144253329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 HARITON CT",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235053331",
"telephone_number": "757-440-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CHILDRENS LN",
"address_2": "4TH FLOOR, SOCIAL WORK DEPT.",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071910",
"telephone_number": "757-668-7930",
"fax_number": "757-668-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGH",
"first_name": "SUSAN",
"middle_name": "D.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0904002703",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "O88892",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010---7861",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "431649",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.