Organization Active NPI

The Maternal Healing Haven LLC

  • Clinical Social Worker
  • Irmo, SC
National Provider Identifier
1770203424
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE MATERNAL HEALING HAVEN LLC
Practice address
7825 Broad River Rd Ste 200
Irmo, SC 29063-2375
Phone
(803) 603-3204
NPI assigned
Sep 1, 2022
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Mrs. Brittany T Dorn, LISW-CP, LCSWNPI 1891247730
Title
Owner
Phone
(803) 603-3204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

7825 Broad River Rd Ste 200
Irmo, SC 29063-2375

Mailing address

7825 Broad River Rd Ste 200
Irmo, SC 29063-2375
Phone (803) 603-3204

National Provider Directory

National Provider Directory

Locations

1350 Bush River Rd
Ste A
Columbia, SC 29210

7825 Broad River Rd
Ste 200
Irmo, SC 29063
Phone (803) 262-0794

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1770203424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 BROAD RIVER RD STE 200",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632375",
            "telephone_number": "803-603-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 BROAD RIVER RD STE 200",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632375",
            "telephone_number": "803-603-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MATERNAL HEALING HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-603-3204",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-CP, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.