Active NPI
Sara Haberman, LCSW
- Clinical Social Worker
- Pelham, NY
National Provider Identifier
1669066429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 072415
- Practice address
- 527 Pelhamdale Ave
Pelham, NY 10803-2255 - Phone
- (646) 872-4073
- NPI assigned
- Feb 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 072415 | NY | Primary |
Addresses
Primary practice location
527 Pelhamdale Ave
Pelham, NY 10803-2255
Mailing address
527 Pelhamdale Ave
Pelham, NY 10803-2255
Phone (646) 872-4073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072415 | Other | NY | STATE LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 072415 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1669066429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 PELHAMDALE AVE",
"city": "PELHAM",
"state": "NY",
"postal_code": "108032255",
"telephone_number": "646-872-4073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 PELHAMDALE AVE",
"city": "PELHAM",
"state": "NY",
"postal_code": "108032255",
"telephone_number": "646-872-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABERMAN",
"first_name": "SARA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-23",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "072415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "072415",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pelham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.