Active NPI
Jamice Sade' Harris, LLMSW
- Social Worker
- Harper Woods, MI
National Provider Identifier
1013556026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851101144
- Practice address
- 18747 Woodcrest St
Harper Woods, MI 48225-2013 - Phone
- (313) 808-3102
- NPI assigned
- Dec 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MI | ||
| Social Worker | 104100000X | 6851101144 | MI | Primary |
Addresses
Primary practice location
18747 Woodcrest St
Harper Woods, MI 48225-2013
Mailing address
18747 Woodcrest St
Harper Woods, MI 48225-2013
Phone (313) 459-3480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851101144 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1013556026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18747 WOODCREST ST",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482252013",
"telephone_number": "313-459-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18747 WOODCREST ST",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482252013",
"telephone_number": "313-808-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JAMICE",
"middle_name": "SADE'",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851101144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harper Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.