Virginia Anne Havemeyer, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

048210-1 Issued in NY

Practice address

8737 Palermo St
Hollis, NY 11423-1221

Phone

(718) 776-8181

Fax

(718) 776-8572

NPI assigned

May 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548474182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 FORTESQUE AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721730",
            "telephone_number": "516-868-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 PALERMO ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231221",
            "telephone_number": "718-776-8181",
            "fax_number": "718-776-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEMEYER",
        "first_name": "VIRGINIA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "048210-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heavenly Touch Home Health Care, Inc.
• Helping Hand Academy

• Clinical Social Worker in Hollis, NY
• Providers in Hollis, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.