Individual provider Active NPI

Alicia Harris, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1457090797
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34011374A Issued in IN
Practice address
101 NW 1St St Ste 114
Evansville, IN 47708-1259
Phone
(812) 402-0444
Fax
(812) 402-0449
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 34011374A IN Primary

Addresses

Primary practice location

101 NW 1St St Ste 114
Evansville, IN 47708-1259

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other practice location 1

415 Mulberry St
Evansville, IN 47713-1230
Phone (812) 423-7791

Other practice location 2

201 SE 4th St Ste 150
Evansville, IN 47713-1201
Phone (812) 461-6716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250220002902 IN Practitioner - Clinical Social Worker 7214457217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Community Therapy IncGroup PAC ID 2961818398, 11 clinicians

Practice addresses (Care Compare)

201 SE 4TH St
Suite 150
Evansville, IN 47713-1201
Phone (812) 461-6716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Community Therapy Inc Clinical CurrentSince Mar 1, 2025 Accepting new patients
Forefront Therapy LLC Clinical CurrentSince Mar 1, 2025 Accepting new patients

Locations

201 SE 4th St
#150
Evansville, IN 47713
Phone (812) 461-6716

101 NW 1st St
Ste 114
Evansville, IN 47708
Phone (812) 402-0444

Organizations & group practices 2

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": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1457090797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-492-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW 1ST ST STE 114",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081259",
            "telephone_number": "812-402-0444",
            "fax_number": "812-402-0449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477131230",
            "country_code": "US",
            "telephone_number": "812-423-7791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 SE 4th St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477131201",
            "country_code": "US",
            "telephone_number": "812-461-6716",
            "fax_number": "812-402-1250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ALICIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011374A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.