Carmen J Harris

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

88840 Issued in CA

Practice address

280 E Standley St
Ukiah, CA 95482-4414

Phone

(707) 466-0001

NPI assigned

Feb 8, 2007

Last updated

Feb 6, 2024By 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 names 1

• Carmen J Brown Former name

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Redwood Community Services, Inc

  • Community/Behavioral Health Agency
  • Ukiah, CA
  • NPI 1831237015

  Counselor

  Medicare reassignment NPD
• Revive Pathway

  • Substance Use Disorder Rehabilitation Clinic/Center
  • El Cajon, CA
  • NPI 1962117440

  TX

  Medicare reassignment NPD
• New Life Health Authority

  dba New Life LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ukiah, CA
  • NPI 1104435734
  NPD
• New Life Health Authority

  • Non-emergency Medical Transport (VAN)
  • Ukiah, CA
  • NPI 1255199063
  NPD
• Redwood Community Services, Inc

  • Substance Abuse Rehabilitation Facility
  • Upper Lake, CA
  • NPI 1265897029
  NPD
• Redwood Community Services, Inc.

  • Community/Behavioral Health Agency
  • Lakeport, CA
  • NPI 1891859047

  Mental Health

  NPD

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1730229675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954821449",
            "telephone_number": "707-472-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 E STANDLEY ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824414",
            "telephone_number": "707-466-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 Myron St",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954824021",
            "country_code": "US",
            "telephone_number": "707-621-0219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 E Gobbi St",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954825511",
            "country_code": "US",
            "telephone_number": "707-472-0350",
            "fax_number": "707-472-0357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CARMEN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "BROWN",
            "middle_name": "J",
            "credential": "ASW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Russell Hardy, M.D.
• Eileen Harmon, R.N.
• Sammie Lorraine Harnett, SUDRC
• Matthew P Harper, M.D.
• Frances Cunnie Harriman, MFT
• Jeffry Harris
• Kati Harris, HSW
• Lea Harris
• Harry B Matossian, M.D.
• Harry B. Matossian

• Clinical Social Worker in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.