Kelly A Harris, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008558 Issued in CT

Practice address

900 Asylum Ave
Hartford, CT 06105-1901

Phone

(860) 218-6066

NPI assigned

Aug 15, 2017

Last updated

Aug 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.harris.p1@direct.wheelerclinic.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Middletown, CT
  • NPI 1952591851

  Clinical

  Medicare reassignment NPD
• Community Health Center Inc

  dba City of Danbury Emergency Shelter WYA

  • Federally Qualified Health Center (FQHC)
  • Danbury, CT
  • NPI 1003332446
  NPD
• Harc, Inc.

  dba Harc Behavioral Health Clinic

  • Developmentally Disabled Services Day Training Agency
  • Hartford, CT
  • NPI 1336282441
  NPD (past)
• Harc, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Hartford, CT
  • NPI 1386906279
  NPD (past)

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1093231813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FELICITY LN",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906101",
            "telephone_number": "860-618-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ASYLUM AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051901",
            "telephone_number": "860-218-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornelius J Harris
• Donessia Helen Harris, LMSW
• Faith D.C. Harris, PHARMD
• Heather M Harris, APRN
• Jamie Christopher Harris, M.D.
• Michael L Harris, PA-C
• Rebecca Harris
• Shadane M Harris
• Sonya Harris, APRN, FNP-BC
• Tamesha R Harris

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.