Active NPI
Deborah S Harrison, ACSW LCSW
- Clinical Social Worker
- New Bern, NC
National Provider Identifier
1336237148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C000390
- Practice address
- 504 Pollock Street
New Bern, NC 28562 - Phone
- (252) 638-3881
- Fax
- (252) 638-8820
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 | C000390 | NC | Primary |
Addresses
Primary practice location
504 Pollock Street
New Bern, NC 28562
Mailing address
PO Box 777
New Bern, NC 28563
Phone (252) 638-3881
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002756 | Medicaid | NC | |
| 61133 | Other | NC | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C000390 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Psychiatric and Wellness, PLLC | Past | Accepting new patients | |
| Coastal Learning Resources | Past | Accepting new patients | |
| Charles D Godwin | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Trent Woods, NC
- NPI 1174487292
-
- Speech-Language Pathologist
- New Bern, NC
- NPI 1144350893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336237148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 777",
"city": "NEW BERN",
"state": "NC",
"postal_code": "28563",
"telephone_number": "252-638-3881",
"fax_number": "252-638-8820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 POLLOCK STREET",
"city": "NEW BERN",
"state": "NC",
"postal_code": "28562",
"telephone_number": "252-638-3881",
"fax_number": "252-638-8820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "DEBORAH",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "ACSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C000390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002756",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "61133",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.