Individual provider Active NPI

Chinyere Emeka Harris, LCSWA

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1366093270
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P011142 Issued in NC
Practice address
1000 N Miami Blvd Ste 121
Durham, NC 27703-2296
Phone
(919) 902-7400
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P011142 NC Primary

Addresses

Primary practice location

1000 N Miami Blvd Ste 121
Durham, NC 27703-2296

Mailing address

PO Box 746724
Atlanta, GA 30374-6724
Phone (312) 733-9730

Other practice location 1

4024 Barrett Dr Ste 201
Raleigh, NC 27609-6625
Phone (919) 931-1634

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.yourlegacync.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220929000142 NC Practitioner - Clinical Social Worker 3274919212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

3250 Freedom Dr
Charlotte, NC 28208-2817
Phone (704) 709-6009

3729 N Roxboro St
Suite B
Durham, NC 27704-2744
Phone (919) 328-2032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P011142NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC Clinical CurrentSince Apr 3, 2023 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Apr 3, 2023 Accepting new patients
Monarch Current Accepting new patients
Monarch CurrentSince Aug 1, 2022 Accepting new patients
Monarch CurrentSince Aug 1, 2022 Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

1000 N Miami Blvd
Ste 121
Durham, NC 27703
Phone (919) 902-7400

3729 N Roxboro St
Ste B
Durham, NC 27704
Phone (919) 328-2032

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

319 Chapanoke Rd
Ste 120
Raleigh, NC 27603
Phone (919) 322-5911

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1366093270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N MIAMI BLVD STE 121",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032296",
            "telephone_number": "919-902-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4024 Barrett Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096625",
            "country_code": "US",
            "telephone_number": "919-931-1634",
            "fax_number": "919-747-9580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHINYERE",
        "middle_name": "EMEKA",
        "name_prefix": "Mrs.",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.yourlegacync.com",
            "affiliation": "N",
            "endpointDescription": "web address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4024 Barrett Dr Ste 201",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276096625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.