Jodi Harris, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013922 Issued in VA

Practice address

105 N Virginia Ave
Falls Church, VA 22046-3339

Phone

(434) 202-4080

NPI assigned

Oct 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Austin Child Guidance Center

  • Community/Behavioral Health Agency
  • Austin, TX
  • NPI 1912054776
  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1518118512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N VIRGINIA AVE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463339",
            "telephone_number": "434-202-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N VIRGINIA AVE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463339",
            "telephone_number": "434-202-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 W 45th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787512802",
            "country_code": "US",
            "telephone_number": "512-451-2242",
            "fax_number": "512-454-9204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JODI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "40251",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lillian Harriman, DDS
• Harris Teeter LLC (Harris Teeter Pharmacy #307)
• Harris Teeter, LLC
• Emily Harris, MS, CCC-SLP
• Isabelle Harris
• Sarah Jordan Harris, MA, BCBA, LBA
• Harrison House, Inc. (Recovery Unplugged Northern Virginia)
• Kenneth Harrison, M.D.
• Susannah Allyn Harrison, LPC
• Paul Hart, LCSW

• Clinical Social Worker in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.