Safe Haven Therapeutic Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SAFE HAVEN THERAPEUTIC SERVICES, LLC

Practice address

6572 Elderberry CT
Elkridge, MD 21075-6485

Phone

(301) 437-0485

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Juliana Bot Salau, DSW, LCSW-CNPI 1124660253

Title

Clinical Social Worker

Phone

(301) 437-0485

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juliana Bot Salau, LICSW

  • Clinical Social Worker
  • Washington, DC
  • NPI 1124660253

  MD

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1629686274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6572 ELDERBERRY CT",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756485",
            "telephone_number": "301-437-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6572 ELDERBERRY CT",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756485",
            "telephone_number": "301-437-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "BOT SALAU",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "301-437-0485",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sh.therapeuticservices@gmail.com",
            "affiliation": "N",
            "address_1": "6572 Elderberry Ct",
            "city": "Elkridge",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210756485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Martin Rubin, M.D.
• Jennifer Elizabeth Ruddle-Frey
• Jennifer Ryan
• Rebecca Lynn Ryan, LCSW-C
• Mingcoya Venese Ryans, CSFA
• Radhika Sagar
• Mikie Schree Salazar, APRN
• Sarah Z Salmassi, DDS
• Sapphire Care, Inc
• Gabrielle Florence Satterfield, LGPC

• Clinical Social Worker in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.