Carolina Harris, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

094696-01 Issued in NY

Practice address

109 S Albany St
Ithaca, NY 14850-5434

Phone

(607) 367-2404

Fax

(607) 367-2405

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family & Children's Service of Ithaca Inc

  • Voluntary or Charitable Agency
  • Ithaca, NY
  • NPI 1124176680
  Medicare reassignment
• Family and Children Services of Ithaca

  • Social Worker
  • Ithaca, NY
  • NPI 1306077425
  NPD (past)

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1841832342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ELMWOOD AVE",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504847",
            "telephone_number": "315-877-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505434",
            "telephone_number": "607-367-2404",
            "fax_number": "607-367-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CAROLINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094696-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilhelm Gustav Hansen, M. D.
• Marie Harkins, FNP-BC
• Erin A Harner, MS, RDN
• Deborah A Harper, PH.D.
• Kathleen Kaye Harrington, RN
• Jimmy Lee Harris
• Leslie Harris, LPN
• Lisa Anne Harris, LPN
• Timothy C Harris, MD
• Paul Blain Hart, DDS

• Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.

Verify at the official NPI Registry.