Terri Haven, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1029846 Issued in MA

Practice address

41 Crescent St
West Hartford, CT 06119-2104

Phone

(413) 221-0546

NPI assigned

Jan 17, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fairlink Healthcare Systems LLC

  • Home Health Agency
  • West Springfield, MA
  • NPI 1285359034
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1659423945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CRESCENT ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192104",
            "telephone_number": "413-221-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CRESCENT ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192104",
            "telephone_number": "413-221-0546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Elm St",
            "address_purpose": "LOCATION",
            "city": "West Springfield",
            "state": "MA",
            "postal_code": "010891782",
            "country_code": "US",
            "telephone_number": "413-221-0546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVEN",
        "first_name": "TERRI",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "P07445",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1857266",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Ashley Harvey, LMSW
• Michelle Marie Haudegand-Gough, OT/L
• Jacqueline Foster Haughton, COTA/L
• Kaylee Renee Havanick, LPC-A
• Haven Health Center of West Hartford, LLC
• Traci Hazelton, PT, ATC, CSCS
• Scott C Healer, P.A.
• Healing Hands Home Care Services, LLC
• Healing With Hope, LLC
• Health Complex Medical, Inc.

• Clinical Social Worker in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.