Charles Harris Sr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

35131 Issued in TX

Practice address

1230 Magnolia Dale Dr
Fresno, TX 77545-9680

Phone

(832) 474-0812

Fax

(281) 888-3675

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Propsych Management, Inc.

  • Counselor
  • Houston, TX
  • NPI 1487686267
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1073524005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 MAGNOLIA DALE DRIVE",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "77545",
            "telephone_number": "832-474-0812",
            "fax_number": "281-888-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MAGNOLIA DALE DR",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775459680",
            "telephone_number": "832-474-0812",
            "fax_number": "281-888-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156608504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156608503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Habitually Bloom
• Meredith Lemont Hall, MA LCDC
• Hallelujah Home Health Agency
• Halo and Hearts
• Alix Christine Halter, FNP-C
• Rochelle Monique Harris, FNP
• Tamara Harris, LPC
• Aleah Haynes
• Tangina Chavon Heard, CERTIFIED COUNSELOR
• Hearts and Hands Personal Care LLC

• Clinical Social Worker in Fresno, TX
• Providers in Fresno, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.