Basic Information
| Provider Information | |||||||||
| NPI: | 1316318173 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HABER | ||||||||
| FirstName: | ANNA | ||||||||
| MiddleName: | |||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9 FARRELLY PL | ||||||||
| Address2: | |||||||||
| City: | MORRISTOWN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079605607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9732995436 | ||||||||
| FaxNumber: | 9732995448 | ||||||||
| Practice Location | |||||||||
| Address1: | 130 POWERVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BOONTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070058705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9732995436 | ||||||||
| FaxNumber: | 9732995448 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2015 | ||||||||
| LastUpdateDate: | 10/04/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 44SL05878700 | NJ | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | 44SCO5661800 | NJ | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 44SL05878700 | 01 | NJ | LICENSED SOCIAL WORKER | OTHER |