Organization Active NPI

Candace B. Harris, MSW, LCSW, PLLC

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1154792323
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009387 Issued in NC
Legal business name
CANDACE B. HARRIS, MSW, LCSW, PLLC
Practice address
3500 Westgate Dr
Suite 504C
Durham, NC 27707-2567
Phone
(919) 972-9626
NPI assigned
Oct 14, 2015
Last updated
Feb 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Candace B Harris, LCSWNPI 1013341692
Title
Owner/Director
Phone
(919) 972-9626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C009387 NC Primary

Addresses

Primary practice location

3500 Westgate Dr
Suite 504C
Durham, NC 27707-2567

Mailing address

6 Lost Tree CT
Durham, NC 27703-7187
Phone (919) 972-9626

National Provider Directory

National Provider Directory

Locations

3500 Westgate Dr
Ste 504C
Durham, NC 27707
Phone (919) 972-9626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1154792323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOST TREE CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037187",
            "telephone_number": "919-972-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR",
            "address_2": "SUITE 504C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072567",
            "telephone_number": "919-972-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDACE B. HARRIS, MSW, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "919-972-9626",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.