Prunella Harris, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018018 Issued in PA

Practice address

529 Seven Bridge Rd
Suite 205
East Stroudsburg, PA 18301-7937

Phone

(570) 807-0267

NPI assigned

Apr 13, 2010

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

Medicare fee-for-service enrollment

Enrolled in PA

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

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.

• Vital Healthcare Solutions

  • Psychiatry Physician
  • Sinking Springs, PA
  • NPI 1659736957
  Medicare reassignment NPD
• Restorative Family Services LLC

  • Community/Behavioral Health Agency
  • East Stroudsburg, PA
  • NPI 1528300704
  NPD (past) Authorized official

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1386960516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 SEVEN BRIDGE RD",
            "address_2": "SUITE 205",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017937",
            "telephone_number": "570-807-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 SEVEN BRIDGE RD",
            "address_2": "SUITE 205",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017937",
            "telephone_number": "570-807-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PRUNELLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanger Prosthetics & Orthotics East Inc
• Harold Ronald Haraldsen Jr., DC
• Adam Harbaugh
• Jacob Harper
• Harpreet K Singh MD PC
• Kelly Ann Harrison, A.T.C.
• Tracey Joanne Harvey, OTR/L
• Takako Hasegawa
• Sarah Hauff, PHDH
• John M Hauth, EDD, ATC

• Clinical Social Worker in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.