Active NPI
Hope Haven Therapy PLLC
- Clinical Social Worker
- Pueblo, CO
National Provider Identifier
1184295214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HOPE HAVEN THERAPY PLLC
- Practice address
- 1601 Constitution Rd
Pueblo, CO 81001-2132 - Phone
- (888) 948-6789
- Fax
- (877) 345-3501
- NPI assigned
- Jul 9, 2021
- Last updated
- Mar 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberta L Salazar, MSW, LCSW
- Title
- Provider/Owner
- Phone
- (719) 242-8758
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1601 Constitution Rd
Pueblo, CO 81001-2132
Mailing address
1 Kalisa Way Ste 101
Paramus, NJ 07652-3508
Phone (888) 948-6789
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Pueblo, CO
- NPI 1700268075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646265600000",
"number": "1184295214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KALISA WAY STE 101",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523508",
"telephone_number": "888-948-6789",
"fax_number": "877-345-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CONSTITUTION RD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810012132",
"telephone_number": "888-948-6789",
"fax_number": "877-345-3501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE HAVEN THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-09",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A",
"authorized_official_last_name": "SALAZAR",
"authorized_official_first_name": "ROBERTA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "719-242-8758",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.