Individual provider Active NPI

Sebastien S Haizet, LMSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1962116160
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110373 Issued in NY
Practice address
412 W 148TH St Apt 5F
New York, NY 10031-3921
Phone
(917) 609-1213
NPI assigned
Jan 11, 2023
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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 110373 NY Primary

Addresses

Primary practice location

412 W 148TH St Apt 5F
New York, NY 10031-3921

Mailing address

412 W 148TH St Apt 5F
New York, NY 10031-3921
Phone (917) 609-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20250513001629 NY Practitioner - Clinical Social Worker 9931627064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110373NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lesbian and Gay Community Services Center, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Lesbian and Gay Community Services Center, Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

208 W 13th St
New York, NY 10011
Phone (212) 620-7310

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1962116160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W 148TH ST APT 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313921",
            "telephone_number": "917-609-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W 148TH ST APT 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313921",
            "telephone_number": "917-609-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIZET",
        "first_name": "SEBASTIEN",
        "middle_name": "S",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "110373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.