Safe Haven Counseling WNC, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SAFE HAVEN COUNSELING WNC, PLLC

Practice address

1141 Montreat Rd Ofc 8
Black Mountain, NC 28711-3231

Phone

(828) 450-0614

Fax

(828) 544-1201

NPI assigned

Feb 24, 2019

Last updated

Feb 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Traci Talbot, LCSWNPI 1275919508

Title

Sole Member

Phone

(828) 450-0614

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Traci Talbot, LCSW

  • Clinical Social Worker
  • Black Mountain, NC
  • NPI 1275919508
  Authorized official Same address or phone

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1477010692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 US HIGHWAY 70",
            "city": "SWANNANOA",
            "state": "NC",
            "postal_code": "287789305",
            "telephone_number": "828-450-0614",
            "fax_number": "828-544-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 MONTREAT RD OFC 8",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113231",
            "telephone_number": "828-450-0614",
            "fax_number": "828-544-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN COUNSELING WNC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-24",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "TALBOT",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "828-450-0614",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.