Judy P Havner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW643 Issued in TN

Practice address

5112 Schubert Rd
Knoxville, TN 37912-3832

Phone

(865) 687-7090

Fax

(865) 688-3767

NPI assigned

Jul 12, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cherokee Health Systems

  dba River Valley Health

  • Federally Qualified Health Center (FQHC)
  • Talbott, TN
  • NPI 1134128820
  NPD
• Resurrection Health

  • Community Health Clinic/Center
  • Memphis, TN
  • NPI 1295136349
  NPD

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730187915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 SNOWDON DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122953",
            "telephone_number": "865-687-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 SCHUBERT RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379123832",
            "telephone_number": "865-687-7090",
            "fax_number": "865-688-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVNER",
        "first_name": "JUDY",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3692499",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Rose Havens, MA CCC-SLP
• Paul J Haverbusch III, PT, DPT
• Hilary S Haverkamp
• Erin M Haverland
• Leyla Haverlock, MSW
• Amy Hawes, MD
• Amber C Hawk
• Daylin Hawk
• Nicole Kathleen Hawk, AU.D. CCC-A
• Matthew Hawke

• Clinical Social Worker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Social Worker in Tennessee

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.