Individual provider Active NPI

Saundra Walker Harris, LCSW

  • Social Worker
  • Largo, MD
National Provider Identifier
1245278837
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
03452 Issued in MD
Practice address
9701 Apollo Dr
Ste 391
Largo, MD 20774
Phone
(301) 583-1181
Fax
(301) 583-1184
NPI assigned
Jun 3, 2006
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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 03452 MD Primary

Addresses

Primary practice location

9701 Apollo Dr
Ste 391
Largo, MD 20774

Mailing address

9701 Apollo Dr
Ste 391
Largo, MD 20774
Phone (301) 583-1181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20051107000439 DC Practitioner - Clinical Social Worker 7517985724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9701 Apollo Dr
Suite 391
Largo, MD 20774-4797
Phone (301) 583-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saundra Walker Harris CurrentSince May 1, 2000 Accepting new patients
Kidney Medical Associates Inc PastSince Sep 1, 2006 Accepting new patients
Tracy Stubblefield LLC Past Accepting new patients
Bleach and Associates, LLC Past Accepting new patients
Diversified Counseling Services, LLC PastSince Feb 20, 2017 Accepting new patients

Locations

9701 Apollo Dr
Ste 391
Upper Marlboro, MD 20774
Phone (301) 583-1181

9701 Apollo Dr
Ste 100
Uppr Marlboro, MD 20774
Phone (240) 487-6934

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18593/brand/1/csg/1/fhir/r4

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1245278837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR",
            "address_2": "STE 391",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "301-583-1181",
            "fax_number": "301-583-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR",
            "address_2": "STE 391",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "301-583-1181",
            "fax_number": "301-583-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER HARRIS",
        "first_name": "SAUNDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "03452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

Verify at the official NPI Registry.