Individual provider Active NPI

Halina Jacqueline Schafer-Bannan, LCSW-R, CASAC

  • Clinical Social Worker
  • Poughkeepsie, NY
National Provider Identifier
1639215692
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005906 Issued in CT
Practice address
20 Manchester Rd
Poughkeepsie, NY 12603-2412
Phone
(845) 486-2950
Fax
(845) 486-2999
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11333 NY
Clinical Social Worker 1041C0700X R045023-1 NY
Clinical Social Worker 1041C0700X 005906 CT Primary

Addresses

Primary practice location

20 Manchester Rd
Poughkeepsie, NY 12603-2412

Mailing address

128 Candlewood Mountain Rd
New Milford, CT 06776-5810
Phone (860) 354-4558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11333NYMDAddiction (Substance Use Disorder) Counselor
005906CTMDClinical Social Worker
R045023-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639215692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CANDLEWOOD MOUNTAIN RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067765810",
            "telephone_number": "860-354-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MANCHESTER RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032412",
            "telephone_number": "845-486-2950",
            "fax_number": "845-486-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER-BANNAN",
        "first_name": "HALINA",
        "middle_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "11333",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045023-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.