Active NPI
Bradley Haber, LCSW
- Clinical Social Worker
- Pembroke Pines, FL
National Provider Identifier
1255647582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW8743
- Practice address
- 700 N Hiatus Rd Ste 213
Pembroke Pines, FL 33026-5206 - Phone
- (954) 431-0411
- Fax
- (954) 431-0413
- NPI assigned
- Aug 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW8743 | FL | Primary |
Addresses
Primary practice location
700 N Hiatus Rd Ste 213
Pembroke Pines, FL 33026-5206
Mailing address
700 N Hiatus Rd Ste 213
Pembroke Pines, FL 33026-5206
Phone (954) 431-0411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- bradleyhaber@tdh.allscriptsdirect.net
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": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1255647582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N HIATUS RD STE 213",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330265206",
"telephone_number": "954-431-0411",
"fax_number": "954-431-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N HIATUS RD STE 213",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330265206",
"telephone_number": "954-431-0411",
"fax_number": "954-431-0413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABER",
"first_name": "BRADLEY",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-24",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW8743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.