Active NPI
Sankofa Healing Haven LLC
- Clinical Social Worker
- East Orange, NJ
National Provider Identifier
1962313569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SANKOFA HEALING HAVEN LLC
- Practice address
- 33 Colonial Ter
East Orange, NJ 07017-2104 - Phone
- (973) 393-0312
- NPI assigned
- Sep 14, 2026
- Organization subpart
- Yes
- Parent organization
- SANKOFA HEALING HAVEN LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynne Chantel Holley, LCSW
- Title
- Ceo
- Phone
- (973) 393-0312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
33 Colonial Ter
East Orange, NJ 07017-2104
Mailing address
33 Colonial Ter
East Orange, NJ 07017-2104
Phone (973) 393-0312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1962313569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 COLONIAL TER",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070172104",
"telephone_number": "973-393-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 COLONIAL TER",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070172104",
"telephone_number": "973-393-0312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANKOFA HEALING HAVEN LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SANKOFA HEALING HAVEN LLC",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A",
"authorized_official_last_name": "HOLLEY",
"authorized_official_first_name": "LYNNE",
"authorized_official_middle_name": "CHANTEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-393-0312",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.