PJ Harris & Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P011662 Issued in NC

Legal business name

PJ HARRIS & ASSOCIATES

Doing business as

PJ Harris

Practice address

4000 Tuckaseegee Rd
Charlotte, NC 28208-2832

Phone

(570) 523-5775

Fax

(704) 749-8833

NPI assigned

Jun 29, 2017

Last updated

Jun 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Philip J Harris, LCSW-ANPI 1689194045

Title

Clinical Director

Phone

(757) 581-1619

Specialties & licenses 1

Addresses

Other names 1

• PJ Harris Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip J Harris, LCSW-A

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1689194045
  NPD (past) Authorized official

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1033630025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8531 RIDGELINE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698000",
            "telephone_number": "757-581-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 TUCKASEEGEE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082832",
            "telephone_number": "570-523-5775",
            "fax_number": "704-749-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJ HARRIS & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "757-581-1619",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PJ Harris",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 Jun 29, 2017; 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.