Tasa Harris, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63748 Issued in TX

Practice address

810 N W S Young Dr Ste 107a
Killeen, TX 76543-4052

Phone

(254) 661-3381

NPI assigned

Sep 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740539998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 MALACHI LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425893",
            "telephone_number": "301-792-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N W S YOUNG DR STE 107A",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765434052",
            "telephone_number": "254-661-3381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11705 Medallion Ter",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207725388",
            "country_code": "US",
            "telephone_number": "301-792-6224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TASA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079456",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harris Dental Group PLLC (Killeen Dental Group)
• Christie Jo Harris, RN, CA-SANE
• Falyn Harris
• Ladonna Harris, LPC
• Michael Eugene Harris, DDS
• Vanessa Michelle Harris
• Ashley Christine Harrison
• Lyndsey Elizabeth Harrison, BCBA, LBA
• Jocelyn Suzett Hart
• Tiffanie Hart

• Clinical Social Worker in Killeen, TX
• Providers in Killeen, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.