Heawon Hake, LCSW
Specialist in South Setauket, NY. Individual provider (NPI-1).
NPI number1720183718
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720183718
- Entity type
- Individual (NPI-1)
- Name
- Heawon Hake
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 038650 | NY | Yes |
Practice location
3771 Nesconset Hwy Ste 208aSouth Setauket, NY 11720-1154
Phone 631-751-1300 · Fax 631-751-1300
Mailing address
17 Yale StPort Jefferson Station, NY 11776-2855
Phone 631-751-1300 · Fax 631-751-1300
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 19 Specialist providers in South Setauket · All 170 providers in South Setauket
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