Marina Louise Harrison, LCSWA
Individual provider Active NPI Clinical Social Worker · Jacksonville, NC
NPI 1043937006 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1043937006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P020318 (NC)
- Practice address
- 3886 Henderson Dr
Jacksonville, NC 28546-5219 - Phone
- (910) 938-9833
- NPI assigned
- Oct 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P020318 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father'S Heart- a Ranch for Children Inc | Past |
Accepting new patients | |
| Kathryn Gonzales | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P020318 | NC | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3886 Henderson Dr
Jacksonville, NC 28546-5219
Mailing address
5100 Alabama Ave
Camp Lejeune, NC 28547-1107
Phone (231) 250-8136
Other names
- Marina Harrison
Other providers in Jacksonville, NC
- Keith A Harris
- Ralph Scott Harris
- Uganda Utice Harris
- William Harris
- Hannah Rackley Harrison
- Kristen Deanne Hart
- Mandy Haskell
- Mary Haunschild
- Evergreen Emmejune Haverkamp
- Tryanna Hawes
All providers in Jacksonville, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.