Active NPI
Naomi Haberman, LCSW-C
- Social Worker
- Columbia, MD
National Provider Identifier
1841543857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 18412
- Practice address
- 5467 Tilted Stone
Columbia, MD 21045-2448 - Phone
- (443) 745-3358
- NPI assigned
- Oct 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 18412 | MD | Primary |
Addresses
Primary practice location
5467 Tilted Stone
Columbia, MD 21045-2448
Mailing address
5467 Tilted Stone
Columbia, MD 21045-2448
Phone (443) 745-3358
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18412 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tides of Change Wellness 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.
-
- Clinical Social Worker
- Columbia, MD
- NPI 1255893590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1841543857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5467 TILTED STONE",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452448",
"telephone_number": "443-745-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5467 TILTED STONE",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452448",
"telephone_number": "443-745-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABERMAN",
"first_name": "NAOMI",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "18412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.