Active NPI
Taylor Jasmine-Alicia Harris, LLMSW
- Social Worker
- Kalamazoo, MI
National Provider Identifier
1619863107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851119012
- Practice address
- 6963 W KL Ave
Kalamazoo, MI 49009-8043 - Phone
- (269) 459-9790
- NPI assigned
- Jun 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | MI | ||
| Social Worker | 104100000X | 6851119012 | MI | Primary |
Addresses
Primary practice location
6963 W KL Ave
Kalamazoo, MI 49009-8043
Mailing address
1508 Merrill St
Kalamazoo, MI 49008-1852
Phone (269) 598-6113
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 |
|---|---|---|---|
| 6851119012 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1619863107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 MERRILL ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081852",
"telephone_number": "269-598-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6963 W KL AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490098043",
"telephone_number": "269-459-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TAYLOR",
"middle_name": "JASMINE-ALICIA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-13",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851119012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.