Active NPI
Kristin Willis Harmon, LCSW
- Clinical Social Worker
- Boone, NC
National Provider Identifier
1750778916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009635
- Practice address
- 950 State Farm Road
Greenway BLDG 2ND Floor
Boone, NC 28607 - Phone
- (828) 263-0121
- Fax
- (828) 268-9050
- NPI assigned
- Apr 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P008125 | NC | |
| Clinical Social Worker | 1041C0700X | C009635 | NC | Primary |
Addresses
Primary practice location
950 State Farm Road
Greenway BLDG 2ND Floor
Boone, NC 28607
Mailing address
950 State Farm Road
Greenway BLDG 2ND Floor
Boone, NC 28607
Phone (828) 263-0121
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C009635 | NC | MD | Clinical Social Worker |
| P008125 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1750778916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 STATE FARM ROAD",
"address_2": "GREENWAY BLDG 2ND FLOOR",
"city": "BOONE",
"state": "NC",
"postal_code": "28607",
"telephone_number": "828-263-0121",
"fax_number": "828-268-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 STATE FARM ROAD",
"address_2": "GREENWAY BLDG 2ND FLOOR",
"city": "BOONE",
"state": "NC",
"postal_code": "28607",
"telephone_number": "828-263-0121",
"fax_number": "828-268-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "KRISTIN",
"middle_name": "WILLIS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P008125",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.