Organization Active NPI

Haven Empowerment Center

  • Clinical Social Worker
  • Mount Vernon, NY
National Provider Identifier
1336658608
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
037506 Issued in NY
Legal business name
HAVEN EMPOWERMENT CENTER
Practice address
2 Gramatan Ave Ste 311
Mount Vernon, NY 10550-3216
Phone
(914) 663-7201
NPI assigned
Sep 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ruth Warwick, LCSW
Title
Owner
Phone
(914) 663-7201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 037506 NY Primary

Addresses

Primary practice location

2 Gramatan Ave Ste 311
Mount Vernon, NY 10550-3216

Mailing address

2 Gramatan Ave Ste 311
Mount Vernon, NY 10550-3216
Phone (914) 663-7201

Other identifiers 1

IdentifierTypeStateIssuer
02854626MedicaidNY

National Provider Directory

National Provider Directory

Locations

2 Gramatan Ave
Ste 311
Mount Vernon, NY 10550
Phone (914) 663-7201

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336658608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GRAMATAN AVE STE 311",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503216",
            "telephone_number": "914-663-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GRAMATAN AVE STE 311",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503216",
            "telephone_number": "914-663-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN EMPOWERMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WARWICK",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-663-7201",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "037506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02854626",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.