Provider Demographics
NPI:1801870944
Name:HABER, HELEN C (LCSW)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:C
Last Name:HABER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SHERWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538
Mailing Address - Country:US
Mailing Address - Phone:914-834-1838
Mailing Address - Fax:914-834-1838
Practice Address - Street 1:1 SHERWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538
Practice Address - Country:US
Practice Address - Phone:914-834-1838
Practice Address - Fax:914-834-1838
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-02
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLSWPR1757103T00000X
NYPR17571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY026968OtherAFFINITY
4216403OtherAETNA
0924600OtherMAGELLEAN
N10892OtherBCBS
NY02029954Medicaid
108855OtherMHN
NYP550629OtherOXFORD
026968OtherU O
37304POtherHPC
4216403OtherAETNA
NY010892Medicare ID - Type Unspecified
NY02029954Medicaid