Havelock Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1653 Issued in NE

Legal business name

HAVELOCK PSYCHOTHERAPY, LLC

Practice address

6101 Havelock Ave St 2a
Lincoln, NE 68507-1268

Phone

(402) 404-6973

NPI assigned

Jan 2, 2018

Organization subpart

No

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

Authorized official

Name

James Michael Bowers, LICSW

Title

Owner

Phone

(402) 404-6973

Specialties & licenses 2

Addresses

Other names 1

• James Michael Bowers, LLC Former legal business name

Locations

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1740797562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 HAVELOCK AVE ST 2A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071268",
            "telephone_number": "402-404-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 HAVELOCK AVE ST 2A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071268",
            "telephone_number": "402-404-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVELOCK PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-404-6973",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1667",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James Michael Bowers, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Havelock Neighborhood Pharmacy
• Havelock Physical Therapy LLC
• Jill Ann Haveman, MPAS, PA-C
• Haven Manor Assisted Living Plus
• Haven Manor, Inc.
• Wahida Havend
• Julie Anne Havener, L.M.H.P., L.P.C

• Clinical Social Worker in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.