Active NPI
Hailey Midrano Havemann, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1154840262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 100229
- Practice address
- 1801 Vicente St
San Francisco, CA 94116-2923 - Phone
- (415) 681-3211
- NPI assigned
- Sep 11, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 85137 | CA | |
| Clinical Social Worker | 1041C0700X | 100229 | CA | Primary |
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
1801 Vicente St
San Francisco, CA 94116-2923
Mailing address
1801 Vicente St
San Francisco, CA 94116-2923
Phone (415) 681-3211
Other practice location 1
1904 SE Division St
Portland, OR 97202-1146
Phone (503) 860-8494
Other names 1
- Hailey Midrano Havemann
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 |
|---|---|---|---|
| 85137 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1154840262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 VICENTE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162923",
"telephone_number": "415-681-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 VICENTE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162923",
"telephone_number": "415-681-3211"
}
],
"practiceLocations": [
{
"address_1": "1904 SE Division St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972021146",
"country_code": "US",
"telephone_number": "503-860-8494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIDRANO HAVEMANN",
"first_name": "HAILEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2024-01-22",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "85137",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "100229",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HAILEY",
"last_name": "MIDRANO HAVEMANN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.