Dominique Chanel Harmon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1041C0700X Issued in GA

Practice address

1708 Peachtree St, NW, Suite 425
Atlanta, GA 30309-7020

Phone

(678) 561-1067

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Dominique Harmon Ware Former name

Medicare fee-for-service enrollment

Enrolled in GA, FL2 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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Menda Behavioral Health Services PC

  • Psychologist
  • Atlanta, GA
  • NPI 1326813387
  Medicare reassignment NPD
• Menda Behavioral Health Services PC

  • Psychologist
  • Tallahassee, FL
  • NPI 1689485641

  Clinical

  Medicare reassignment NPD
• Menda Behavioral Health Services of California, PC

  • Psychologist
  • San Francisco, CA
  • NPI 1962108779
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1346320447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 PEACHTREE ST, NW",
            "address_2": "SUITE 425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097020",
            "telephone_number": "678-561-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 PEACHTREE ST, NW, SUITE 425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097020",
            "telephone_number": "678-561-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "DOMINIQUE",
        "middle_name": "CHANEL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORKER",
            "identifier": "CSW003395",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "WARE",
            "middle_name": "HARMON",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Harlow-Parker, RN,MS,CS
• Richard J Harlow, PHARM.D.
• Nicole Naylor Harman, OTR
• Andrew Harmez
• Casey Renee Harmon, PT
• Dondrae Harmon
• Ericka Paige Harmon, NP-C
• Paige Harmon
• Paula J Harmon, M.D.
• Harmoni Dental Clinic, LLC

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.