Individual provider Active NPI

Linda A Harris, LCSWR

  • Clinical Social Worker
  • Webster, NY
National Provider Identifier
1851743900
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0786791 Issued in NY
Practice address
63 Daytona Ave
Webster, NY 14580
Phone
(585) 545-5070
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0786791 NY Primary

Addresses

Primary practice location

63 Daytona Ave
Webster, NY 14580

Mailing address

63 Daytona Ave
Webster, NY 14580-2201
Phone (585) 545-5070

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181031000163 NY Practitioner - Clinical Social Worker 5496044950 Reassigns benefits to 1 organization
Practice locations: Victor, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0786791NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Harris, LCSW- R Current Accepting new patients
Linda a. Harris PastSince Sep 1, 2018 Accepting new patients
Linda a. Harris, LCSW-R Clinical PastSince Sep 1, 2018 Accepting new patients

Locations

6539 Anthony Dr
Ste A
Victor, NY 14564
Phone (585) 398-8835

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1851743900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 DAYTONA AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802201",
            "telephone_number": "585-545-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 DAYTONA AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "14580",
            "telephone_number": "585-545-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LINDA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0786791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

Verify at the official NPI Registry.