Active NPI
Juliane Honeywell Haburchak
- Clinical Social Worker
- Denver, CO
National Provider Identifier
1336823830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 989556
- Practice address
- 4495 Hale Pkwy Ste 120
Denver, CO 80220-6203 - Phone
- (303) 877-9308
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- 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 | 989556 | CO | Primary |
Addresses
Primary practice location
4495 Hale Pkwy Ste 120
Denver, CO 80220-6203
Mailing address
4495 Hale Pkwy Ste 120
Denver, CO 80220-6203
Phone (303) 877-9308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 989556 | Other | CO | STATE LICENSING BOARD DORA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 989556 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1336823830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4495 HALE PKWY STE 120",
"city": "DENVER",
"state": "CO",
"postal_code": "802206203",
"telephone_number": "303-877-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4495 HALE PKWY STE 120",
"city": "DENVER",
"state": "CO",
"postal_code": "802206203",
"telephone_number": "303-877-9308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABURCHAK",
"first_name": "JULIANE",
"middle_name": "HONEYWELL",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "989556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSING BOARD DORA",
"identifier": "989556",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.