Organization Active NPI

Danielle Havelin LLC

  • Clinical Social Worker
  • Upper Darby, PA
National Provider Identifier
1295298750
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DANIELLE HAVELIN LLC
Practice address
8600 W Chester Pike Ste 108
Upper Darby, PA 19082-2629
Phone
(484) 278-1604
NPI assigned
Apr 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Danielle Havelin, LCSWNPI 1427525054
Title
Owner/Psychotherapist
Phone
(484) 278-1604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8600 W Chester Pike Ste 108
Upper Darby, PA 19082-2629

Mailing address

8600 W Chester Pike Ste 108
Upper Darby, PA 19082-2629
Phone (484) 278-1604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190620000174 PA Part B Supplier - Clinic/Group Practice 6204169642 Receives reassigned benefits from 1 practitioner
Practice locations: Havertown, PA

National Provider Directory

National Provider Directory

Locations

8600 W Chester Pike
Ste 309
Upper Darby, PA 19082
Phone (484) 278-1604

8600 W Chester Pike
Ste 108
Upper Darby, PA 19082
Phone (484) 278-1604

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1295298750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 W CHESTER PIKE STE 108",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822629",
            "telephone_number": "484-278-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 W CHESTER PIKE STE 108",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822629",
            "telephone_number": "484-278-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE HAVELIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "HAVELIN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "484-278-1604",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.