Individual provider Active NPI

Martha Janet Habert, LCSW

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1225100886
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0245841 Issued in NY
Practice address
11050 71 Road
Ste 1N
Forest Hills, NY 11375-4972
Phone
(718) 261-6247
Fax
(718) 343-4468
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R0245841 NY Primary

Addresses

Primary practice location

11050 71 Road
Ste 1N
Forest Hills, NY 11375-4972

Mailing address

24920 Elkmont Avenue
Bellerose, NY 11426-2631
Phone (718) 343-4468

Other identifiers 1

IdentifierTypeStateIssuer
01644802MedicaidNY

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
I20111114000841 NY Practitioner - Clinical Social Worker 2860666534 Reassigns benefits to 1 organization
Practice locations: Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arista Center for Psychotherapy IncGroup PAC ID 1658364054, 13 clinicians

Practice addresses (Care Compare)

11020 71St Rd
Forest Hills, NY 11375-4914
Phone (718) 793-5410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0245841NYMDClinical Social Worker
024584NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arista Center for Psychotherapy Inc CurrentSince Nov 9, 2016 Accepting new patients

Organizations & group practices 1

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1225100886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24920 ELKMONT AVENUE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262631",
            "telephone_number": "718-343-4468",
            "fax_number": "718-343-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 71 ROAD",
            "address_2": "STE 1N",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754972",
            "telephone_number": "718-261-6247",
            "fax_number": "718-343-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERT",
        "first_name": "MARTHA",
        "middle_name": "JANET",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0245841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01644802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.