Laura Harris, BA, CADC, LPRS, LCDP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW03783 Issued in RI

Practice address

460 Pine St
Providence, RI 02907-1358

Phone

(401) 272-0220

NPI assigned

Aug 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• Amos House

  • Case Management Agency
  • Providence, RI
  • NPI 1891157509

  Peer Specialist

  NPD
• Amos House

  • Case Manager/Care Coordinator
  • Providence, RI
  • NPI 1255872529
  NPD (past)

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1174307722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 PINE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 PINE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071358",
            "telephone_number": "401-272-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LAURA",
        "credential": "BA, CADC, LPRS, LCDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "RI",
            "license": "CDP00905",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "RI",
            "license": "200867",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Marie Harris, MSW, LICSW
• Charles Macloren Harris, LCSW
• Christy Harris, LICSW
• Daniel E Harris
• Jeffery Harris, LEAD INSPECTOR
• Madison Harris, LMHC-A
• Michelle Labrie Harris, LICSW
• Noelle C. Harris, LMHC
• Rachel Harris, MS RD CSP CNSC LDN
• Shanette Marie Harris, PH.D.

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.