Jordan Haykin, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL06881200 Issued in NJ

Practice address

87 Park Ave
Flemington, NJ 08822-1128

Phone

(908) 751-1208

NPI assigned

Nov 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• My Place for Peace, LLC

  • Professional Counselor
  • Flemington, NJ
  • NPI 1023659976
  NPD (past)

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1275240806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 PARK AVE",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221128",
            "telephone_number": "908-751-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 PARK AVE",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221128",
            "telephone_number": "908-751-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYKIN",
        "first_name": "JORDAN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06881200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1023659976",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "TherapyNotes",
            "address_1": "630 Dresher Rd",
            "city": "Horsham",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190442204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Harrison, MA
• Jeffrey B Harrison, PH.D.
• Tara Harrison, PH.D.
• Jeffrey D Hartford, M.D.
• Lloyd Peter Haskell, MD
• Paula Hays, PMHNP-BC
• Paula S Hazard, R.D.
• Healthspan Anesthesia LLC
• Healthy Smile Teledentistry
• Hearing Health PA LLC

• Clinical Social Worker in Flemington, NJ
• Providers in Flemington, 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 Nov 2, 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.

Verify at the official NPI Registry.