Individual provider Active NPI

Denise Karen Harlan

  • Clinical Social Worker
  • Campbell, CA
National Provider Identifier
1316336779
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
86754 Issued in CA
Practice address
251 Llewellyn Ave BLDG C
Campbell, CA 95008-1940
Phone
(408) 628-5592
Fax
(408) 874-7151
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 86754 CA Primary
Clinical Social Worker 1041C0700X ASW64732 CA

Addresses

Primary practice location

251 Llewellyn Ave BLDG C
Campbell, CA 95008-1940

Mailing address

547 Bethany Curv
Santa Cruz, CA 95060-5312
Phone (831) 247-7740

Other practice location 1

547 Bethany Curv
Santa Cruz, CA 95060-5312
Phone (831) 247-7740

Other names 1

  • Denise Karen Frederick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, NC, SC, LA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220307000289 CA Practitioner - Clinical Social Worker 4183018229 Reassigns benefits to 2 organizations
I20220824001500 TX Practitioner - Clinical Social Worker 4183018229 Reassigns benefits to 1 organization
I20230816004051 NC Practitioner - Clinical Social Worker 4183018229 Reassigns benefits to 1 organization
I20240423000898 SC Practitioner - Clinical Social Worker 4183018229 Reassigns benefits to 1 organization
I20241112001287 LA Practitioner - Clinical Social Worker 4183018229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6840 Indiana Ave
Suite 275
Riverside, CA 92506-4279
Phone (408) 740-3692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86754CAMDClinical Social Worker
ASW64732CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Dec 25, 2022 Accepting new patients
Attend Therapy, a Licensed Clinical Social Worker, Inc. Clinical CurrentSince Dec 20, 2023 Accepting new patients
Marcus Zachary, D.O., P.C. CurrentSince Feb 1, 2022 Accepting new patients

Locations

7111 N Fresno St
Ste 200
Fresno, CA 93720
Phone (415) 353-6817

6840 Indiana Ave
Ste 275
Riverside, CA 92506
Phone (951) 778-0230

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1316336779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 BETHANY CURV",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950605312",
            "telephone_number": "831-247-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LLEWELLYN AVE BLDG C",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081940",
            "telephone_number": "408-628-5592",
            "fax_number": "408-874-7151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "547 Bethany Curv",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950605312",
            "country_code": "US",
            "telephone_number": "831-247-7740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "DENISE",
        "middle_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86754",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW64732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "FREDERICK",
            "middle_name": "KAREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.