Jessica E Harrison, LCSW

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

JESSICA E HARRISON, LCSW

Practice address

900 E Indiantown Rd Ste 310
Jupiter, FL 33477-5153

Phone

(954) 600-6695

NPI assigned

Dec 14, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Jessica Emily Harrison, LCSW

Title

President

Phone

(954) 600-6695

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Jessica E Harrison LCSW2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jessica E Harrison, LCSW

  • Multi-Specialty Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1518438852
  NPD tax ID

Locations

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

{
    "created_epoch": "1544745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1194296418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 PORTOFINO CIR APT 125",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E INDIANTOWN RD STE 310",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775153",
            "telephone_number": "954-600-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA E HARRISON, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-14",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-600-6695",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003790900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicaharrisonlcsw@me.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 E Indiantown Rd Ste 310",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334775153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.