Organization Active NPI

The Healing Haven LLC

  • Clinical Social Worker
  • Suffolk, VA
National Provider Identifier
1801601737
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE HEALING HAVEN LLC
Practice address
3908 Breezeport Way Apt 206
Suffolk, VA 23435-1086
Phone
(757) 537-9379
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Marissa Brown, LCSWNPI 1689488181
Title
Clinical Social Worker
Phone
(757) 537-9379

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 WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3908 Breezeport Way Apt 206
Suffolk, VA 23435-1086

Mailing address

1500 Shipyard Rd Ste D
Chesapeake, VA 23323-5517
Phone (757) 537-9379

National Provider Directory

National Provider Directory

Locations

1500 Shipyard Rd
Ste D
Chesapeake, VA 23323
Phone (757) 392-7469

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1801601737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHIPYARD RD STE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233235517",
            "telephone_number": "757-537-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 BREEZEPORT WAY APT 206",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351086",
            "telephone_number": "757-537-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "757-537-9379",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.