Elizabeth Harris

Key facts

NPI

1649525486

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

121528 (MA)

Practice address

40 Spring St Ste 215
Watertown, MA 02472

Phone

(508) 740-0168

NPI assigned

Jul 18, 2012

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other names

• Betsy Harris Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 13, 2019.

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1649525486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SPRING ST STE 215",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723474",
            "telephone_number": "508-740-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SPRING ST STE 215",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "02472",
            "telephone_number": "508-740-0168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 S California Ave",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943061618",
            "country_code": "US",
            "telephone_number": "650-617-8340 x3343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 S California Ave",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943061618",
            "country_code": "US",
            "telephone_number": "650-617-8340 x3343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "71286",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "HARRIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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All providers in Watertown, MA · Clinical Social Worker in Massachusetts