Individual provider Active NPI

Jane P Harris, LISW

  • Social Worker
  • Cleveland, OH
National Provider Identifier
1184070278
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I 0005082 Issued in OH
Practice address
4400 Euclid Ave
Cleveland, OH 44103-3734
Phone
(216) 432-7200
Fax
(216) 432-7253
NPI assigned
May 9, 2016
Last updated
May 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I 0005082 OH Primary

Addresses

Primary practice location

4400 Euclid Ave
Cleveland, OH 44103-3734

Mailing address

4500 Euclid Ave
Cleveland, OH 44103-3736
Phone (216) 432-7200

Other identifiers 1

IdentifierTypeStateIssuer
I 0005082OtherOHSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161031002148 OH Practitioner - Clinical Social Worker 0648558304 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 0005082OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Health Services CurrentSince Aug 19, 2024 Accepting new patients
Circle Health Services CurrentSince Aug 19, 2024 Accepting new patients
The Centers for Families and Children Social Worker CurrentSince Aug 16, 2016 Accepting new patients
Center for Families & Children CurrentSince Aug 16, 2016 Accepting new patients
Circle Health Services Past Accepting new patients

Locations

12201 Euclid Ave
Cleveland, OH 44106
Phone (216) 373-2846

3929 Rocky River Dr
Cleveland, OH 44111
Phone (216) 252-5800

4400 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9355

4500 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9404

5209 Detroit Ave
Cleveland, OH 44102
Phone (216) 651-2037

5955 Ridge Rd
Parma, OH 44129
Phone (440) 888-0300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1184070278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033736",
            "telephone_number": "216-432-7200",
            "fax_number": "216-432-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033734",
            "telephone_number": "216-432-7200",
            "fax_number": "216-432-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JANE",
        "middle_name": "P",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I 0005082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "I 0005082",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.