Active NPI
Donna Yvette Harris, LCSW
- Clinical Social Worker
- West Palm Beach, FL
National Provider Identifier
1487721031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW2285
- Practice address
- 1041 45TH St
West Palm Beach, FL 33407-2402 - Phone
- (561) 383-8000
- Fax
- (561) 514-1275
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW2285 | FL | Primary |
Addresses
Primary practice location
1041 45TH St
West Palm Beach, FL 33407-2402
Mailing address
1041 45TH St
West Palm Beach, FL 33407-2402
Phone (561) 383-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW2285 | Other | FL | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| SW2285 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487721031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 45TH ST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072402",
"telephone_number": "561-383-8000",
"fax_number": "561-514-1275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 45TH ST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072402",
"telephone_number": "561-383-8000",
"fax_number": "561-514-1275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DONNA",
"middle_name": "YVETTE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW2285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "SW2285",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.