Individual provider Active NPI

Lenice Haber, LCSW

  • Clinical Social Worker
  • Venice, FL
National Provider Identifier
1770870206
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14947 Issued in FL
Practice address
1790 E Venice Ave Ste 204
Venice, FL 34292-3191
Phone
(941) 488-8884
Fax
(941) 488-5554
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW14947 FL Primary

Addresses

Primary practice location

1790 E Venice Ave Ste 204
Venice, FL 34292-3191

Mailing address

1790 E Venice Ave Ste 204
Venice, FL 34292-3191
Phone (941) 488-8884

Other identifiers 1

IdentifierTypeStateIssuer
023341100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@cornerstone-psych.direct.kno2fy.com Health Information Exchange (HIE) Cornerstone Psychiatric Services Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20180302000604 FL Practitioner - Clinical Social Worker 6103187331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Psychiatric Services IncGroup PAC ID 8224113584, 5 clinicians

Practice addresses (Care Compare)

1790 E Venice Ave
Suite 204
Venice, FL 34292-3191
Phone (941) 488-8884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Psychiatric Services Inc Clinical CurrentSince Nov 1, 2022 Accepting new patients

Locations

1790 E Venice Ave
Ste 204
Venice, FL 34292
Phone (941) 484-0766

Interoperability endpoints

  • Direct secure messaging: records@cornerstone-psych.direct.kno2fy.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1770870206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE STE 204",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-488-8884",
            "fax_number": "941-488-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE STE 204",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-488-8884",
            "fax_number": "941-488-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABER",
        "first_name": "LENICE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023341100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@cornerstone-psych.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "Cornerstone Psychiatric Services Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1790 E Venice Ave Ste 204",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342923191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.