Active NPI
Eric Harris, LCWS
- Clinical Social Worker
- Bound Brook, NJ
National Provider Identifier
1730249269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC04468
- Practice address
- 339 W 2ND St
Bound Brook, NJ 08805-1833 - Phone
- (732) 356-1082
- Fax
- (732) 356-6327
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC04468 | NJ | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | SC04468 | NJ | |
| Mental Health Counselor | 101YM0800X | SC04468 | NJ |
Addresses
Primary practice location
339 W 2ND St
Bound Brook, NJ 08805-1833
Mailing address
339 W 2ND St
Bound Brook, NJ 08805-1833
Phone (732) 356-1082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
339 W 2ND St
Bound Brook, NJ 08805-1833
Phone (732) 356-1082
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC04468 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of Somerset Hunterdon & Warren Counties | Current | Accepting new patients | |
| Family & Community Services of Somerset County | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
339 W 2nd St
Bound Brook, NJ 08805
Phone (732) 356-1082
150 W High St
Ste A
Somerville, NJ 08876
Phone (908) 725-7799
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Bound Brook, NJ
- NPI 1154408623
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Somerville, NJ
- NPI 1205991155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1730249269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 W 2ND ST",
"city": "BOUND BROOK",
"state": "NJ",
"postal_code": "088051833",
"telephone_number": "732-356-1082",
"fax_number": "732-356-6327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 W 2ND ST",
"city": "BOUND BROOK",
"state": "NJ",
"postal_code": "088051833",
"telephone_number": "732-356-1082",
"fax_number": "732-356-6327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ERIC",
"credential": "LCWS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "SC04468",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "SC04468",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "SC04468",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bound Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.