Havenwood Behavioral Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HAVENWOOD BEHAVIORAL HEALTH

Doing business as

Havenwood Behavioral Health

Practice address

7553 Southridge Cir NW
North Canton, OH 44720-5599

Phone

(573) 528-7324

NPI assigned

Aug 29, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Farrell, LISW

Title

Clinical Social Worker

Phone

(573) 528-7324

Specialties & licenses 1

Addresses

Other names 1

• Havenwood Behavioral Health Doing business as

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1205611076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7553 SOUTHRIDGE CIR NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447205599",
            "telephone_number": "573-528-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7553 SOUTHRIDGE CIR NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447205599",
            "telephone_number": "573-528-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENWOOD BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "573-528-7324",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Havenwood Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Eva Hartzler, PT
• Richard Harvey III, COTA/L
• Tricia Harvey
• Wendy Hastings, COTA/L
• Kathy Haupt, MD
• Jaime L Hawk, COTA/L
• Wade Scott Hawkins, M.D.
• Rayna Elizabeth Hawley
• Kaitlyn M Hazek, PTA
• Healthcare Veterans LLC

• Clinical Social Worker in North Canton, OH
• Providers in North Canton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.