Active NPI
Shay L Harris, MSW, LCSW
- Clinical Social Worker
- Noblesville, IN
National Provider Identifier
1154498509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34008803A
- Practice address
- 17840 Cumberland Rd
Noblesville, IN 46060-5409 - Phone
- (317) 371-0329
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34008803A | IN | Primary |
| Psychologist | 103T00000X | 2389123 | WI |
Addresses
Primary practice location
17840 Cumberland Rd
Noblesville, IN 46060-5409
Mailing address
17840 Cumberland Rd
Noblesville, IN 46060-5409
Phone (317) 371-0329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39740700 | Medicaid | WI |
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 |
|---|---|---|---|
| 2389123 | WI | MD | Psychologist |
| 34008803A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Healthcare, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1225052830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1154498509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17840 CUMBERLAND RD",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460605409",
"telephone_number": "317-371-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17840 CUMBERLAND RD",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460605409",
"telephone_number": "317-371-0329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SHAY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008803A",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2389123",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39740700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.