Organization Active NPI

Safe Haven Counseling Services, LLC

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1841622818
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02249 Issued in RI
Legal business name
SAFE HAVEN COUNSELING SERVICES, LLC
Practice address
1 Richmond SQ
Suite 124C
Providence, RI 02906-5139
Phone
(401) 536-9474
Fax
(401) 751-8997
NPI assigned
Aug 1, 2013
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Ms. Heidi Monroe, LICSWNPI 1861720625
Title
Clinical Social Worker
Phone
(401) 536-9474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X ISW02249 RI Primary

Addresses

Primary practice location

1 Richmond SQ
Suite 124C
Providence, RI 02906-5139

Mailing address

1 Richmond SQ
Suite 124C
Providence, RI 02906-5139
Phone (401) 536-9474

Other identifiers 1

IdentifierTypeStateIssuer
0034475OtherRIMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

1 Richmond Sq
#308
Providence, RI 02906

1 Richmond Sq
Ste 124C
Providence, RI 02906
Phone (401) 536-9474

1 Richmond Sq
Ste 308E
Providence, RI 02906
Phone (401) 214-2771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1841622818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ",
            "address_2": "SUITE 124C",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065139",
            "telephone_number": "401-536-9474",
            "fax_number": "401-751-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ",
            "address_2": "SUITE 124C",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065139",
            "telephone_number": "401-536-9474",
            "fax_number": "401-751-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "401-536-9474",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "0034475",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.