Donna L Havens, LCSW
Individual provider Active NPI Clinical Social Worker · Bastian, VA
NPI 1487768495 · NPPES record last updated Apr 7, 2020
Key facts
- NPI
- 1487768495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904001753 (VA)
- Practice address
- 12301 Grapefield Rd
Bastian, VA 24314 - Phone
- (276) 688-4331
- Fax
- (276) 688-4336
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T Med Behavioral Inc | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904001753 | VA | Yes |
Addresses
Primary practice location
12301 Grapefield Rd
Bastian, VA 24314
Mailing address
12301 Grapefield Rd
Bastian, VA 24314
Phone (276) 688-4331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032113 | Other | VA | VALUE OPTIONS |
| 247838 | Other | VA | MTN STATE BC/BC |
| 010383277 | Medicaid | VA | |
| 2121987 | Other | VA | MAMSI |
| 257838 | Other | VI | ANTHEM BC &BS |
| 257838 | Other | VA | TRIGON HEALTHKEEPERS |
| 463014 | Other | VA | ALLIANCE/MAPSI |
| 005410916 | Medicaid | VA | |
| 008963312 | Medicaid | VA | |
| 171900 | Other | VA | COMPSYCH |
| 257838 | Other | VA | BLUE CROSS BLUE SHIELD |
| 8957010 | Other | VA | CIGNA |
| 156228 | Other | VA | VA, DEPT. REHAB. SERVICES |
| 200101 | Other | VA | MHN |
| 01843900 | Other | VA | MAGELLAN |
| 541999431101 | Other | VA | JOHN DEERE (UBH) |
Other providers in Bastian, VA
- Donna T Cruey
- Christina Lynn Davidson
- Chester T. Frethiem
- Mary A Grimmett
- H2 Rehabilitation Services of Virginia, LLC
- Courtney Heltzel
- Angela Nicole Hutchinson
- Lindsey Heldreth Kennedy
- London King
- Mary A Martin
All providers in Bastian, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.