Active NPI
Tywania Laniece Harris, MSW
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1235884891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P016805
- Practice address
- 1310 Raeford Rd Ste 2
Fayetteville, NC 28305-5086 - Phone
- (910) 485-6336
- Fax
- (888) 972-8390
- NPI assigned
- Feb 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P016805 | NC | Primary |
Addresses
Primary practice location
1310 Raeford Rd Ste 2
Fayetteville, NC 28305-5086
Mailing address
46 Michelle CT
Lillington, NC 27546-0016
Phone (313) 409-6253
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | URL | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P016805 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verna Dority, MSW, CCSW, Inc | Clinical | Current | Accepting new patients |
Locations
1310 Raeford Rd
Ste 2
Fayetteville, NC 28305
Phone (910) 850-0367
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1396984225
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644624000000",
"number": "1235884891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 MICHELLE CT",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275460016",
"telephone_number": "313-409-6253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 RAEFORD RD STE 2",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055086",
"telephone_number": "910-485-6336",
"fax_number": "888-972-8390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TYWANIA",
"middle_name": "LANIECE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-12",
"last_updated": "2022-02-12",
"certification_date": "2022-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P016805",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "URL",
"affiliation": "N",
"endpointDescription": "URL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1310 Raeford Rd Ste 2",
"city": "Fayetteville",
"state": "NC",
"country_code": "US",
"postal_code": "283055086",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.