Individual provider Active NPI

Renee Haber, LMSW

  • Social Worker
  • Merrick, NY
National Provider Identifier
1588045447
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
094354-1 Issued in NY
Practice address
2116 Merrick Ave
3008
Merrick, NY 11566-3445
Phone
(516) 578-1816
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 094354-1 NY Primary

Addresses

Primary practice location

2116 Merrick Ave
3008
Merrick, NY 11566-3445

Mailing address

35 Crabapple Dr
Roslyn, NY 11576-2300
Phone (516) 621-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240309000102 NY Practitioner - Clinical Social Worker 9436506227 Practice locations: Merrick, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2174 Hewlett Ave
Suite 211
Merrick, NY 11566-3620
Phone (516) 578-1816

35 Crabapple Dr
Roslyn, NY 11576-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
094354-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renee Haber LCSW PC CurrentSince Apr 30, 2023 Accepting new patients
Lorraine Gonzalez LCSW PLLC PastSince Apr 1, 2017 Accepting new patients

Locations

2174 Hewlett Ave
Ste 211
Merrick, NY 11566
Phone (516) 226-0374

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1588045447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CRABAPPLE DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762300",
            "telephone_number": "516-621-0044",
            "fax_number": "516-801-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 MERRICK AVE",
            "address_2": "3008",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663445",
            "telephone_number": "516-578-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABER",
        "first_name": "RENEE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094354-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.