S.C. Healing Haven

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

S.C. HEALING HAVEN

Practice address

90 Millburn Ave Ste 203
Millburn, NJ 07041-1933

Phone

(973) 941-8322

NPI assigned

Feb 17, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Shannon Charles, LCSWNPI 1053753848

Title

Clinical Director

Phone

(973) 941-8322

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Charles, MSW

  • Social Worker
  • Lake City, FL
  • NPI 1053753848
  NPD Authorized official

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1235934084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MILLBURN AVE STE 203",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411933",
            "telephone_number": "973-941-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MILLBURN AVE STE 203",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411933",
            "telephone_number": "973-941-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.C. HEALING HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "973-941-8322",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiera Anne Rosen
• Michael Rosen, M.D, M.B.A.
• Gary Mark Rosenblatt, D.M.D.
• Harry Roth
• Rpc2B, LLC
• Herbert Sabin, DDS
• Paul Gregori Saccone, M.D.
• Shelley Sadow Frankel, LCSW
• Qaisra Yasmin Saeed, MD
• Rachel Salem, CRNA

• Clinical Social Worker in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.