Active NPI
Pamela Kay Havens, L.S.W.
- Social Worker
- Watseka, IL
National Provider Identifier
1144401175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 323 W Mulberry St
Watseka, IL 60970-1568 - Phone
- (815) 432-5241
- Fax
- (815) 432-4537
- NPI assigned
- Nov 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | Primary |
Addresses
Primary practice location
323 W Mulberry St
Watseka, IL 60970-1568
Mailing address
PO Box 322
Watseka, IL 60970-0322
Phone (815) 432-5241
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 |
|---|---|---|---|
| 150011169 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1144401175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 322",
"city": "WATSEKA",
"state": "IL",
"postal_code": "609700322",
"telephone_number": "815-432-5241",
"fax_number": "815-432-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 W MULBERRY ST",
"city": "WATSEKA",
"state": "IL",
"postal_code": "609701568",
"telephone_number": "815-432-5241",
"fax_number": "815-432-4537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVENS",
"first_name": "PAMELA",
"middle_name": "KAY",
"credential": "L.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watseka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.