Individual provider Active NPI

Yasmin Habib, LCSW-R

  • Clinical Social Worker
  • Watertown, NY
National Provider Identifier
1831667807
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088533 Issued in NY
Practice address
238 Arsenal St
Watertown, NY 13601-2504
Phone
(315) 782-9450
Fax
(315) 782-2643
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 092400 NY
Clinical Social Worker 1041C0700X 088533 NY Primary

Addresses

Primary practice location

238 Arsenal St
Watertown, NY 13601-2504

Mailing address

238 Arsenal St
Watertown, NY 13601-2504
Phone (315) 782-9450

Other practice location 1

1335 Washington St
Watertown, NY 13601-4531
Phone (315) 785-3703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191114002655 NY Practitioner - Clinical Social Worker 9436581345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092400NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Family Health Center, Inc. CurrentSince Sep 22, 2019 Accepting new patients
North Country Family Health Center, Inc. CurrentSince Sep 22, 2019 Accepting new patients

Locations

13180 US Route 11
Adams Center, NY 13606
Phone (315) 583-5200

5402 Dayan St
Ste 100
Lowville, NY 13367
Phone (315) 376-4600

423 N Main St
Mannsville, NY 13661

1237 Washington St
Watertown, NY 13601
Phone (315) 785-3700

238 Arsenal St
Watertown, NY 13601
Phone (315) 782-9450

1220 Coffeen St
Watertown, NY 13601
Phone (315) 786-1042

171 E Hoard St
Watertown, NY 13601
Phone (315) 785-3750

1335 Washington St
Watertown, NY 13601
Phone (315) 785-3700

1351 Washington St
Watertown, NY 13601
Phone (315) 785-3700

Interoperability endpoints

  • Direct secure messaging: yasmin.habib.1@21901.direct.athenahealth.com

Organizations & group practices 2

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": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1831667807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012504",
            "telephone_number": "315-782-9450",
            "fax_number": "315-782-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012504",
            "telephone_number": "315-782-9450",
            "fax_number": "315-782-2643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1335 Washington St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136014531",
            "country_code": "US",
            "telephone_number": "315-785-3703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABIB",
        "first_name": "YASMIN",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.