Meredith Harris LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13128 Issued in FL

Legal business name

MEREDITH HARRIS LLC

Practice address

13670 Metropolis Ave
101
Fort Myers, FL 33912-4346

Phone

(504) 615-7217

Fax

(239) 674-0304

NPI assigned

Jul 23, 2014

Organization subpart

Yes

Parent organization

MEREDITH W. HARRISAs reported in NPPES

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

Authorized official

Name

Ms. Meredith Wheeler Harris, MSW,LCSW,SAP

Title

Clinical Social Worker

Phone

(504) 615-7217

Specialties & licenses 1

Addresses

Part of

Meredith Harris LLC

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1427466374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13670 METROPOLIS AVE",
            "address_2": "101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124346",
            "telephone_number": "504-615-7217",
            "fax_number": "239-674-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13670 METROPOLIS AVE",
            "address_2": "101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124346",
            "telephone_number": "504-615-7217",
            "fax_number": "239-674-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH HARRIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEREDITH W. HARRIS",
        "enumeration_date": "2014-07-23",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "WHEELER",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "504-615-7217",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW,LCSW,SAP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Carmen C'NE Mercedes-Lattimore, APRN, FNP-C
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• Karen Merilien

• Clinical Social Worker in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.