Active NPI
Tiquicha Monique Harris, MSW
- Clinical Social Worker
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1900 The Exchange SE
Suite 420
Atlanta, GA 30339-2022 - Phone
- (678) 460-0345
- Fax
- (678) 460-0350
- NPI assigned
- Jul 28, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Social Worker | 104100000X | MSW004830 | GA |
Addresses
Primary practice location
1900 The Exchange SE
Suite 420
Atlanta, GA 30339-2022
Mailing address
1425 Market Blvd Ste 530-145
Roswell, GA 30076-6708
Phone (678) 852-2987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1843 Peeler Rd
Suite C
Dunwoody, GA 30338-5706
Phone (678) 852-2987
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW004830 | GA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capstone Hospice, LLC | Current | Accepting new patients | |
| Unlock Dreams | Social Worker | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563
1843 Peeler Rd
Ste C
Dunwoody, GA 30338
Phone (330) 486-5356
5550 Peachtree Pkwy
Ste 150
Peachtree Corners, GA 30092
Phone (770) 558-6202
1425 Market Blvd
Ste 530145
Roswell, GA 30076
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Roswell, GA
- NPI 1104508431
-
- Community Based Hospice Care Agency
- Peachtree Corners, GA
- NPI 1598134975
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1790916609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 MARKET BLVD STE 530-145",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300766708",
"telephone_number": "678-852-2987",
"fax_number": "888-375-4037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 THE EXCHANGE SE",
"address_2": "SUITE 420",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392022",
"telephone_number": "678-460-0345",
"fax_number": "678-460-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TIQUICHA",
"middle_name": "MONIQUE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-28",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW004830",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.