Shomari M. Harris, LCSW EMPA MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088900 Issued in NY

Practice address

242 Bradhurst Ave Apt 55
New York, NY 10039-1425

Phone

(347) 805-6384

NPI assigned

Nov 1, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

Credentials

Master 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.

• National Institute for the Psychotherapies Training Institute

  • School Psychologist
  • New York, NY
  • NPI 1083834345
  NPD (past)

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1194237024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 BRADHURST AVE APT 55",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100391425",
            "telephone_number": "347-805-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 BRADHURST AVE APT 55",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100391425",
            "telephone_number": "347-805-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHOMARI",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LCSW EMPA MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-01",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall M. Harris, LCSW
• Ray Stanley Harris III, RN
• Rosita Harris, LCSW
• Sarah Anne Harris, LMSW
• Sharon R. Harris, RPH
• Sivoy L Harris, RN, FNP
• Stephan Isaac Harris
• Stephen N Harris, MD
• Sue Harris, PH.D.
• Tanesia Harris, M.ED., M.A., LMHC

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.