Active NPI
Shavon L Harris, LMSW
- Social Worker
- Spokane Valley, WA
National Provider Identifier
1376198259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 34863
- Practice address
- 16114 E Indiana Ave Ste 210
Spokane Valley, WA 99216-1874 - Phone
- (360) 215-3242
- NPI assigned
- Aug 7, 2019
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 34863 | ID | Primary |
Addresses
Primary practice location
16114 E Indiana Ave Ste 210
Spokane Valley, WA 99216-1874
Mailing address
20899 E Thompson Ave
Liberty Lake, WA 99019-7803
Phone (360) 215-3242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34863 | Other | ID | LICENSE |
| SWIA.SC.70031371 | Other | WA | WA STATE DEPARTMENT OF HEALTH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34863 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dirne Health Centers, Inc. | Social Worker | Past | Accepting new patients |
| Refresh Therapy, Inc | Past | Accepting new patients | |
| Dirne Health Centers, Inc. | 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.
-
- Marriage & Family Therapist
- Vancouver, WA
- NPI 1225403454
-
- Federally Qualified Health Center (FQHC)
- Coeur D Alene, ID
- NPI 1194397240
-
- Federally Qualified Health Center (FQHC)
- Coeur D Alene, ID
- NPI 1255756730
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1376198259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20899 E THOMPSON AVE",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990197803",
"telephone_number": "360-215-3242",
"fax_number": "360-326-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16114 E INDIANA AVE STE 210",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161874",
"telephone_number": "360-215-3242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SHAVON",
"middle_name": "L",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "34863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "34863",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE DEPARTMENT OF HEALTH",
"identifier": "SWIA.SC.70031371",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.