Susan Harris, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

253046 Issued in KY

Practice address

530 S Jackson St
Louisville, KY 40202-1675

Phone

(502) 589-8600

NPI assigned

Aug 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164856019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 LINN STATION RD STE 600",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233818",
            "telephone_number": "502-589-8600",
            "fax_number": "502-589-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021675",
            "telephone_number": "502-589-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S JOE B HALL AVE",
            "address_purpose": "LOCATION",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "401650690",
            "country_code": "US",
            "telephone_number": "502-589-8600 x1261",
            "fax_number": "502-589-8771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164856019",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Andrew Harris, MD
• Samantha Rae Harris, MSW, LCSW
• Sarah Lindsey Harris, APRN
• Spring Paige Harris, CRNA
• Stacey Marie Harris, LCSW #253840
• Susan Harris
• Taylor Harris, MS, OTR/L
• Zachary Michael Harris, M.D.
• Harrison Medical Inc.
• Rhonda A Harrison-Goode, ARNP

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.