Rose Marie Havens, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4940 E State St
Suite 3
Rockford, IL 61108-2270

Phone

(815) 227-0081

Fax

(815) 387-5316

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609889013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 OAKLANE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611094775",
            "telephone_number": "815-227-0081",
            "fax_number": "815-387-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 E STATE ST",
            "address_2": "SUITE 3",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082270",
            "telephone_number": "815-227-0081",
            "fax_number": "815-387-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "credential": "MSW  LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Crowell Hatch
• Brooke Danielle Hatfield, PA-C
• Heather Lynn Hatfield, WHNP
• Linda Hatfield, LPN
• Linda Haugen
• Alesia Oscea Hawkins-Jones, PH.D.
• Alexandria Hawkins, D.M.D.
• Angela Marie Hawkins, APRN
• Kelsey E Hayes
• Richard Hayes, MD

• Clinical Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Social Worker in Illinois

• 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.