Active NPI
Carole Anne Harris, LCSW, PSY.D
- Clinical Social Worker
- Huntington Beach, CA
National Provider Identifier
1144219072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS18421
- Practice address
- 18381 Goldenwest St
Huntington Beach, CA 92648-1107 - Phone
- (714) 842-7777
- Fax
- (714) 842-7774
- NPI assigned
- Oct 13, 2005
- 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 | LCS18421 | CA | Primary |
Addresses
Primary practice location
18381 Goldenwest St
Huntington Beach, CA 92648-1107
Mailing address
18381 Goldenwest St
Huntington Beach, CA 92648-1107
Phone (714) 842-7777
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 |
|---|---|---|---|
| LCS18421 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1144219072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18381 GOLDENWEST ST",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481107",
"telephone_number": "714-842-7777",
"fax_number": "714-842-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18381 GOLDENWEST ST",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481107",
"telephone_number": "714-842-7777",
"fax_number": "714-842-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CAROLE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "LCSW, PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS18421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.