Individual provider Active NPI

Erica Hauben, L.C.S.W.

  • Clinical Social Worker
  • Yorktown Heights, NY
National Provider Identifier
1184040750
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087896 Issued in NY
Practice address
3505 Hill Blvd
Yorktown Heights, NY 10598-1283
Phone
(914) 352-6116
Fax
(914) 352-6117
NPI assigned
Mar 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10376 LA
Clinical Social Worker 1041C0700X 087896 NY Primary

Addresses

Primary practice location

3505 Hill Blvd
Yorktown Heights, NY 10598-1283

Mailing address

593 John St
Peekskill, NY 10566-2129
Phone (504) 638-2553

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hyinhealth@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220828000017 NY Practitioner - Clinical Social Worker 9436372406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Services, Inc.Group PAC ID 1658284542, 39 clinicians

Practice addresses (Care Compare)

7 Park LN
Highland, NY 12528-2823
Phone (845) 486-2703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087896NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Mental Health, Inc. Clinical CurrentSince Jul 11, 2022 Accepting new patients
Family Services, Inc. Clinical CurrentSince Jul 11, 2022 Accepting new patients
TGC Learning Center Past Accepting new patients

Locations

50 Center St
Ellenville, NY 12428
Phone (845) 647-3266

7 Park Ln
Highland, NY 12528

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1184040750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 JOHN ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662129",
            "telephone_number": "504-638-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 HILL BLVD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981283",
            "telephone_number": "914-352-6116",
            "fax_number": "914-352-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUBEN",
        "first_name": "ERICA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10376",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hyinhealth@gmail.com",
            "affiliation": "N",
            "address_1": "3505 Hill Blvd",
            "city": "Yorktown Heights",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105981283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.