Individual provider · Type 1 NPI

Heawon Hake, LCSW

Specialist · South Setauket, NY

NPI number 1720183718 Active

Practice location

3771 Nesconset Hwy Ste 208A
South Setauket, NY 11720-1154

Fax (631) 751-1300

Mailing address

17 Yale St
Port Jefferson Station, NY 11776-2855

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X038650 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1720183718

Heawon Hake, LCSW's National Provider Identifier is 1720183718, issued on Sep 14, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South Setauket, NY. The record was last updated on Jul 8, 2007.