Individual provider Active NPI

Dana Khadija Harmon, PHD, MSW, LICSW

  • Clinical Social Worker
  • Montgomery, AL
National Provider Identifier
1235795055
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3978C Issued in AL
Practice address
4131 Carmichael Rd Ste 9
Montgomery, AL 36106-2801
Phone
(334) 318-1584
Fax
(334) 649-4099
NPI assigned
May 16, 2019
Last updated
May 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3978C AL Primary

Addresses

Primary practice location

4131 Carmichael Rd Ste 9
Montgomery, AL 36106-2801

Mailing address

PO Box 240912
Montgomery, AL 36124-0912
Phone (334) 318-1584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3978CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sabree Therapeutic Services, LLC Clinical PastSince Jun 1, 2018 Accepting new patients

Organizations & group practices 1

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1235795055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240912",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361240912",
            "telephone_number": "334-318-1584",
            "fax_number": "334-649-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 CARMICHAEL RD STE 9",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062801",
            "telephone_number": "334-318-1584",
            "fax_number": "334-649-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "DANA",
        "middle_name": "KHADIJA",
        "credential": "PHD, MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3978C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.