Katrina Lorene Harris, LMSW-CLINICAL

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801115375 Issued in MI

Practice address

8441 Marygrove Dr
Detroit, MI 48221-2942

Phone

(313) 914-9471

NPI assigned

Dec 27, 2018

Last updated

Dec 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Team Wellness Center

  • Community Health Clinic/Center
  • Detroit, MI
  • NPI 1588855100
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, MI

  Medicare reassignment NPD
• Elmhurst Home, Inc.

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
  • NPI 1366659906
  Medicare reassignment
• Connectere LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
  • NPI 1467221762
  Authorized official Same address or phone
• Team Mental Health Services Inc.

  dba Team Wellness Center

  • Primary Care Clinic/Center
  • Detroit, MI
  • NPI 1295324291
  NPD
• Team Mental Health Services Inc.

  dba Team Wellness Center

  • Dentist
  • Detroit, MI
  • NPI 1306383252
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1699247866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 MARYGROVE DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212942",
            "telephone_number": "313-914-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 MARYGROVE DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212942",
            "telephone_number": "313-914-9471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8441 Marygrove Dr",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482212942",
            "country_code": "US",
            "telephone_number": "313-914-9471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KATRINA",
        "middle_name": "LORENE",
        "credential": "LMSW-CLINICAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871893065",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417305582",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaylin Martel Harris
• Johan Elliott Harris, MD
• Jordan Harris
• Joseph Carter Harris, D.D.S.
• Kanica Harris
• Kayla McKail Harris
• Keani Harris
• Keisha Harris
• Kevin Harris
• Kevin Brian Harris, MD

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.