NPIMap

Annette'S Haven

Organization Active NPI Clinical Social Worker · Middletown, DE

NPI 1700923653 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1700923653
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
ANNETTE'S HAVEN
Practice address
401 N Broad St
Middletown, DE 19709-1037
Phone
(302) 376-0621
Fax
(302) 376-6219
NPI assigned
Jan 31, 2007
Organization subpart
No

Authorized official

Name
Ms. Sandra Lee Knauer, LCSW
Title
President
Phone
(302) 376-0621

Practitioners 17

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 1041C0700X Yes

Addresses

Primary practice location

401 N Broad St
Middletown, DE 19709-1037

Mailing address

401 N Broad St
Middletown, DE 19709-1037
Phone (302) 376-0621

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700923653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N BROAD ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091037",
            "telephone_number": "302-376-0621",
            "fax_number": "302-376-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BROAD ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091037",
            "telephone_number": "302-376-0621",
            "fax_number": "302-376-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE'S HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNAUER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-376-0621",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

All providers in Middletown, DE · Clinical Social Worker in Delaware

Sources for this page

Verify at the official NPI Registry.