Active NPI
Tori L Harris, LCSW
- Clinical Social Worker
- Fairland, OK
National Provider Identifier
1700054004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2660
- Practice address
- 61900 E 220 Rd
Fairland, OK 74343-2270 - Phone
- (918) 801-6468
- NPI assigned
- Feb 20, 2008
- Last updated
- Sep 13, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2660 | OK | Primary |
Addresses
Primary practice location
61900 E 220 Rd
Fairland, OK 74343-2270
Mailing address
1569 N Main St
Jay, OK 74346-2903
Phone (918) 253-1900
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 |
|---|---|---|---|
| 2660 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1700054004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1569 N MAIN ST",
"city": "JAY",
"state": "OK",
"postal_code": "743462903",
"telephone_number": "918-253-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61900 E 220 RD",
"city": "FAIRLAND",
"state": "OK",
"postal_code": "743432270",
"telephone_number": "918-801-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TORI",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "2660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairland, OK
- Sherri Dirkswager
- Mariah Christine Dunkel, COTA/L5
- Fairland Public Schools
- Family Care Centers of Oklahoma, LLC (Family Care Center of Fairland, LLC)
- Global Fairland LLC (Family Care Center of Fairland)
- Healthcare and Rehab of Fairland, LLC (Healthcare and Rehab of Fairland)
- Andrea Gail Heilig
- Jonathan Jacobs, LPC, LADC-C
- Cynthia D Noble, FNP
- Quickcare Family Medicine LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.