Individual provider Active NPI

Valerie Harris

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1114567658
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021938 Issued in IL
Practice address
5300 S Shore Dr Apt 3
Chicago, IL 60615-5719
Phone
(773) 203-2901
Fax
(773) 203-2901
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149021938 IL Primary

Addresses

Primary practice location

5300 S Shore Dr Apt 3
Chicago, IL 60615-5719

Mailing address

5300 S Shore Dr Apt 3
Chicago, IL 60615-5719
Phone (773) 203-2901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20200217002243 IL Practitioner - Clinical Social Worker 3779910591 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149021938ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Friend Family Health Center Inc CurrentSince Apr 13, 2020 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jun 17, 2024 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Vharris Holistic Health Solutions LLC Clinical CurrentSince Jul 31, 2022 Accepting new patients
Friend Family Health Center Inc CurrentSince Apr 13, 2020 Accepting new patients
Friend Family Health Center Inc Current Accepting new patients
Mount Sinai Community Foundation CurrentSince Jun 17, 2024 Accepting new patients

Locations

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1114567658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S SHORE DR APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155719",
            "telephone_number": "773-203-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S SHORE DR APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155719",
            "telephone_number": "773-203-2901",
            "fax_number": "773-203-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "VALERIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.