Karen D Harryman, ACSW, M ED., MFA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW122872 Issued in CA

Practice address

23701 E. Fork Rd
Azusa, CA 91702-9003

Phone

(626) 910-1202

NPI assigned

Oct 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• K.D. Harryman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education, Master of Fine Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1336911569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23701 E. FORK RD",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917021477",
            "telephone_number": "818-209-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23701 E. FORK RD",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917029003",
            "telephone_number": "626-910-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRYMAN",
        "first_name": "KAREN",
        "middle_name": "D",
        "credential": "ACSW, M ED., MFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW122872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K.D.",
            "last_name": "HARRYMAN",
            "credential": "ACSW, M ED., MFA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christy Hancock
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• James Harmon
• Somer Laurlyn Harrison, L.P.T
• Deborah Sue Hawthorne
• Health-Eu, Integrative Medicine, a Professional Medical Corporation
• Kelly Lorene Heimdahl
• Hemateck LLC
• Judith Nicolle Hernandez-Arechiga, RDHAP

• Clinical Social Worker in Azusa, CA
• Providers in Azusa, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.