Individual provider Active NPI

Mindy Haber, LCSWR

  • Clinical Social Worker
  • Pleasant Valley, NY
National Provider Identifier
1912076472
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R046054-1 Issued in NY
Practice address
8 Brown Rd
Pleasant Valley, NY 12569-7317
Phone
(845) 790-0822
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R046054-1 NY Primary

Addresses

Primary practice location

8 Brown Rd
Pleasant Valley, NY 12569-7317

Mailing address

8 Brown Rd
Pleasant Valley, NY 12569-7317
Phone (845) 790-0822

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
I20140130000686 NY Practitioner - Clinical Social Worker 0446489025 Practice locations: Wappingers Falls, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 Marshall Rd
Suite 2L
Wappingers Falls, NY 12590-4134
Phone (914) 475-3703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R046054-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Counseling and Psychotherapy Group Past Accepting new patients
Daytop Village Inc. Past Accepting new patients

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912076472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BROWN RD",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697317",
            "telephone_number": "845-790-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BROWN RD",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697317",
            "telephone_number": "845-790-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABER",
        "first_name": "MINDY",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046054-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Valley, NY

Sources for this page

Verify at the official NPI Registry.