NPIMap

Organization Active NPI

Whitehawk, LLC

  • Clinical Social Worker
  • East Hampton, CT
National Provider Identifier
1992161806
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005111 Issued in CT
Legal business name
WHITEHAWK, LLC
Practice address
26 Lakeview St
East Hampton, CT 06424-1200
Phone
(860) 365-5249
Fax
(860) 365-5249
NPI assigned
Jan 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Kim Novak, LCSWNPI 1215916473
Title
Owner
Phone
(860) 365-5249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 005111 CT Primary

Addresses

Primary practice location

26 Lakeview St
East Hampton, CT 06424-1200

Mailing address

PO Box 298
East Hampton, CT 06424-0298
Phone (860) 365-5249

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1992161806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064240298",
            "telephone_number": "860-365-5249",
            "fax_number": "860-365-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 LAKEVIEW ST",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064241200",
            "telephone_number": "860-365-5249",
            "fax_number": "860-365-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHAWK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-365-5249",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.