Daytona C Harris, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1700619 Issued in OH

Practice address

20131 Nicholas Ave
Euclid, OH 44123-3007

Phone

(216) 630-1754

NPI assigned

Oct 10, 2018

Last updated

Jun 30, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1619442241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20131 NICHOLAS AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441233007",
            "telephone_number": "216-630-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20131 NICHOLAS AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441233007",
            "telephone_number": "216-630-1754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21830 S Lake Shore Blvd",
            "address_purpose": "LOCATION",
            "city": "Euclid",
            "state": "OH",
            "postal_code": "441232165",
            "country_code": "US",
            "telephone_number": "216-630-1754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAYTONA",
        "middle_name": "C",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1700619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Harnegie
• Denitra Harp, LPN
• Harris Counseling & Consulting LLC
• Chris Harris
• Crystal Daneen Harris
• Deborah Ann Harris, R.N.
• Donnicia Harris, R.N
• Donovan Harris
• Helen P Harris
• Janeail Harris

• Social Worker in Euclid, OH
• Providers in Euclid, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.