Shae Marie Havner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9548 Issued in WI

Practice address

1421 Broadway St N Ste 114B
Menomonie, WI 54751-4728

Phone

(715) 308-5742

Fax

(888) 972-4831

NPI assigned

Jul 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Shae Marie Havner-Sierer Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beacon Mental Health Resources LLCGroup PAC ID 2668997586, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beacon Mental Health Resources LLC

  • Marriage & Family Therapist
  • Menomonie, WI
  • NPI 1407379787
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1710549183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 BROADWAY ST N STE 114B",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547514728",
            "telephone_number": "715-308-5742",
            "fax_number": "888-972-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 BROADWAY ST N STE 114B",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547514728",
            "telephone_number": "715-308-5742",
            "fax_number": "888-972-4831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "393 Red Cedar St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547512267",
            "country_code": "US",
            "telephone_number": "715-308-5742",
            "fax_number": "888-972-4831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVNER",
        "first_name": "SHAE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9548",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "127423-121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAE",
            "last_name": "HAVNER-SIERER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harmony
• Lance Harris, H.I.S.
• Jill Anne Hasenberg-Gindt, D.O.
• Jennifer Hastings, D.D.S.
• Matthew J Hastreiter, PT, DPT
• Natalie Jo Hazen, BS
• Amy R Heikkinen, PA-C
• Joseph W. Heimler, M.D.
• Cara L Helmer, APNP-BC
• Alissa Hensleigh, PA-C

• Clinical Social Worker in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.