Individual provider Active NPI

Sapheallah N Harris, LCSW

  • Clinical Social Worker
  • Addison, TX
National Provider Identifier
1154989010
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
57150 Issued in TX
Practice address
5057 Keller Springs Rd Ste 300
Addison, TX 75001-6916
Phone
(214) 547-4746
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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 57150 TX Primary

Addresses

Primary practice location

5057 Keller Springs Rd Ste 300
Addison, TX 75001-6916

Mailing address

5057 Keller Springs Rd Ste 300
Addison, TX 75001-6916
Phone (214) 547-4746

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SNHARRIS@therapysecure.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260322000028 TX Practitioner - Clinical Social Worker 5698259299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1700 Covemeadow Dr
Arlington, TX 76012-5407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57150TXMDPharmacist

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.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1154989010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 KELLER SPRINGS RD STE 300",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016916",
            "telephone_number": "214-547-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5057 KELLER SPRINGS RD STE 300",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016916",
            "telephone_number": "214-547-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SAPHEALLAH",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SNHARRIS@therapysecure.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Referrals",
            "address_1": "5057 Keller Springs Rd Ste 300",
            "city": "Addison",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750016916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.