Active NPI
Evan Sarah Harris, LCSW-C
- Social Worker
- Columbia, MD
National Provider Identifier
1669861324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 22608
- Practice address
- 5886 Morningbird LN
Columbia, MD 21045-3508 - Phone
- (443) 290-7673
- NPI assigned
- Jan 20, 2015
- Last updated
- Nov 4, 2024
- 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 | 22608 | MD | Primary |
Addresses
Primary practice location
5886 Morningbird LN
Columbia, MD 21045-3508
Mailing address
5886 Morningbird LN
Columbia, MD 21045-3508
Other practice location 1
7050 Oakland Mills Rd Ste 140
Columbia, MD 21046-2270
Phone (443) 290-7673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 6, 2025 through Feb 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22608 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1669861324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5886 MORNINGBIRD LN",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5886 MORNINGBIRD LN",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453508",
"telephone_number": "443-290-7673"
}
],
"practiceLocations": [
{
"address_1": "7050 Oakland Mills Rd Ste 140",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210462270",
"country_code": "US",
"telephone_number": "443-290-7673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "EVAN",
"middle_name": "SARAH",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-20",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "22608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.