Active NPI
Monica D Harris, MSW
- Social Worker
- Hawthorne, CA
National Provider Identifier
1639419229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW 32993
- Practice address
- 13714 Kornblum Ave
#27
Hawthorne, CA 90250-9501 - Phone
- (562) 221-6814
- NPI assigned
- Feb 19, 2013
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW 32993 | CA | Primary |
Addresses
Primary practice location
13714 Kornblum Ave
#27
Hawthorne, CA 90250-9501
Mailing address
PO Box 1651
Long Beach, CA 90801-1651
Phone (562) 221-6814
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 |
|---|---|---|---|
| ASW 32993 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1639419229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1651",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908011651",
"telephone_number": "562-221-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13714 KORNBLUM AVE",
"address_2": "#27",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902509501",
"telephone_number": "562-221-6814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MONICA",
"middle_name": "D",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-19",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW 32993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.