Active NPI
Eric Micheal Harlin, LCSW
- Clinical Social Worker
- Memphis, TN
National Provider Identifier
1811235575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3810 Winchester Rd
Memphis, TN 38118 - Phone
- (901) 452-6941
- NPI assigned
- Jan 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3810 Winchester Rd
Memphis, TN 38118
Mailing address
3711 Austin Peay Hwy # 281611
Memphis, TN 38128-3768
Phone (901) 499-2195
Other practice location 1
2707 Browns Ln
Jonesboro, AR 72401-7213
Phone (870) 972-4939
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 |
|---|---|---|---|
| 6252 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibrant Life Services | Clinical | Current | Accepting new patients |
Locations
3711 Austin Peay Hwy
#281611
Memphis, TN 38128
Phone (501) 499-2195
Organizations & group practices 1
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
- Memphis, TN
- NPI 1992434138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654387200000",
"number": "1811235575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3711 AUSTIN PEAY HWY # 281611",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381283768",
"telephone_number": "901-499-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 WINCHESTER RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38118",
"telephone_number": "901-452-6941"
}
],
"practiceLocations": [
{
"address_1": "2707 Browns Ln",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "AR",
"postal_code": "724017213",
"country_code": "US",
"telephone_number": "870-972-4939",
"fax_number": "870-972-4911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARLIN",
"first_name": "ERIC",
"middle_name": "MICHEAL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-30",
"last_updated": "2022-06-05",
"certification_date": "2022-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.