Active NPI
Michelle L Harring, LCSW
- Clinical Social Worker
- Beale AFB, CA
National Provider Identifier
1073766754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS22195
- Practice address
- 15301 Warren Shingle Rd
Beale AFB, CA 95903-1907 - Phone
- (909) 904-6216
- Fax
- (000) 000-0000
- NPI assigned
- Oct 28, 2008
- Last updated
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS22195 | CA | Primary |
Addresses
Primary practice location
15301 Warren Shingle Rd
Beale AFB, CA 95903-1907
Mailing address
15301 Warren Shingle Rd
Beale AFB, CA 95903-1907
Phone (909) 904-6216
Other names 1
- Ms. Shelly Harring
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS22195 | CA | MD | Clinical Social Worker |
| 22195 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1073766754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15301 WARREN SHINGLE RD",
"city": "BEALE AFB",
"state": "CA",
"postal_code": "959031907",
"telephone_number": "909-904-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15301 WARREN SHINGLE RD",
"city": "BEALE AFB",
"state": "CA",
"postal_code": "959031907",
"telephone_number": "909-904-6216",
"fax_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRING",
"first_name": "MICHELLE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS22195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLY",
"last_name": "HARRING",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Beale AFB, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.