Active NPI
John R Haram, LICSW
- Clinical Social Worker
- Martinsburg, WV
National Provider Identifier
1790749505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CP00450559
- Practice address
- 420 Randolph St
Martinsburg, WV 25401-2888 - Phone
- (304) 263-2220
- Fax
- (304) 264-1531
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CP00450559 | WV | Primary |
| Clinical Social Worker | 1041C0700X | V00308 | VA |
Addresses
Primary practice location
420 Randolph St
Martinsburg, WV 25401-2888
Mailing address
52 Goshen LN
Martinsburg, WV 25404-1324
Phone (304) 263-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V00308 | VA | MD | Clinical Social Worker |
| CP00450559 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GMS Medical Eye Center, LLC | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- Germantown, MD
- NPI 1689761801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1790749505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 GOSHEN LN",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254041324",
"telephone_number": "304-263-2220",
"fax_number": "304-264-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 RANDOLPH ST",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012888",
"telephone_number": "304-263-2220",
"fax_number": "304-264-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARAM",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "CP00450559",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "V00308",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.