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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 038650 (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.