Heawon Hake, LCSW

Primary specialty

SpecialistTaxonomy code 174400000X

License

038650 Issued in NY

Practice address

3771 Nesconset Hwy Ste 208a
South Setauket, NY 11720-1154

Phone

(631) 751-1300

Fax

(631) 751-1300

NPI assigned

Sep 14, 2006

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

Medicare fee-for-service enrollment

Enrolled in NY

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Heawon Hake Inc.

  • Mental Health Counselor
  • South Setauket, NY
  • NPI 1811054786
  NPD (past) Authorized official
• Metropolitan Psychological & Licensed Master Social Work Services PLLC

  • Clinical Psychologist
  • Bay Shore, NY
  • NPI 1891833588
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720183718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 YALE ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762855",
            "telephone_number": "631-751-1300",
            "fax_number": "631-751-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY STE 208A",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201154",
            "telephone_number": "631-751-1300",
            "fax_number": "631-751-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKE",
        "first_name": "HEAWON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "038650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Giannelli-O'Brien, LCSW
• Alexandra Gleason, LMFT
• Joy Michele Gootkin, LCSW
• Jennifer Gozaloff
• Michael Patrich Gunning, PH.D.
• Hart to Heart Clinical Counseling Services LCSW PC
• Jay A Hart, LCSW
• Heawon Hake Inc.
• Jill Bruning Hindes, NPP
• Alexandria Holland

• Specialist in South Setauket, NY
• Providers in South Setauket, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.