Jamie Harrison, MSW, LCSW-C
Individual provider Active NPI Clinical Social Worker · Williamsport, MD
NPI 1649094871 · NPPES record last updated Nov 13, 2024
Key facts
- NPI
- 1649094871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 20119 (MD)
- Practice address
- 10743 Van Lear Dr
Williamsport, MD 21795-1423 - Phone
- (717) 658-1813
- NPI assigned
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250610003129 | MD | Practitioner - Clinical Social Worker | 5395255137 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20119 | MD | Yes |
Addresses
Primary practice location
10743 Van Lear Dr
Williamsport, MD 21795-1423
Mailing address
10743 Van Lear Dr
Williamsport, MD 21795-1423
Phone (717) 658-1813
Other providers in Williamsport, MD
- Matthew Howard Gibson
- Rebecca Lynn Godwin
- Sheilanor Maralit Guarin
- Megan Gump
- Christina Harr
- Samantha Hemmis
- Laurence Allen Hickman Jr.
- Homewood Living Williamsport, Inc.
- Hope-Well Pharmacy Williamsport LLC
- Karen Jill Ciccarelli, M.D. PC
All providers in Williamsport, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.