Affiniti Harris-Mordecai

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CSW005388 Issued in GA

Practice address

419 E Crossville Rd Ste 207
Roswell, GA 30075-3080

Phone

(770) 545-6443

NPI assigned

Aug 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1831522671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 EVES RD UNIT 769491",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760131",
            "telephone_number": "770-545-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E CROSSVILLE RD STE 207",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753080",
            "telephone_number": "770-545-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-MORDECAI",
        "first_name": "AFFINITI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "CSW005388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Harper, MT-BC
• Bridget Harper
• Corshonta Harper, FNP-C
• Jennifer Madge Harper, MD
• Jennifer Hoke Harrell, PT
• Audrey Harris
• Carlyn N Harris, PT DPT
• Ian Harris, PA
• Julia Harris, M.S., LAPC
• Leonie V Harris, PHD, NMD, ND

• Social Worker in Roswell, GA
• Providers in Roswell, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.