Candace Brook Harris, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P007617 Issued in NC

Practice address

3500 Westgate Dr
Suite 504C
Durham, NC 27707-2567

Phone

(919) 972-9626

NPI assigned

Aug 30, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: candace.harris.1@21505.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Candace B. Harris, MSW, LCSW, PLLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1154792323
  NPD Authorized official
• Kristin McArthur, MD, PLLC

  • Geriatric Psychiatry Physician
  • Cary, NC
  • NPI 1801398805
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1013341692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WILLIAM PENN PLZ",
            "address_2": "APT 903",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042564",
            "telephone_number": "919-972-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR",
            "address_2": "SUITE 504C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072567",
            "telephone_number": "919-972-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CANDACE",
        "middle_name": "BROOK",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Theresa Harris-Holloway, CCP
• Viteria Marie Harris-Jackson, MPH, RN
• Aniyah Symone Harris
• Briana Harris
• Brittany Shaquana Harris, RN
• Carroll Martin Harris, SOCIAL WORKER
• Charles A Harris, CRNA
• Charles O. Harris, M.D.
• Chelsea Harris, MD, MBA
• Chinyere Emeka Harris, LCSWA

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.