Gale Lee Harris, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149002843 Issued in IL

Practice address

777 Central Ave
Highland Park, IL 60035-3240

Phone

(847) 432-4981

Fax

(847) 432-7331

NPI assigned

May 18, 2009

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

Enrolled in IL

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

Oakland College of Medicine and Surgery, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1922233188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CENTRAL AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353240",
            "telephone_number": "847-432-4981",
            "fax_number": "847-432-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CENTRAL AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353240",
            "telephone_number": "847-432-4981",
            "fax_number": "847-432-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GALE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149002843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Hansen, LMT
• Britt Erika Hanson, DO
• Laura Michelle Rivi Hanson, PT,DPT
• Harley G Rubens MD SC
• Bruce A. Harris, MD
• Zachary Harris, MD
• Roberta Maller Hartman, PH.D.
• Annalissa Hartsell, DPT
• Leah Elizabeth Hasdan
• Gerald Walter Hay, COTA/L

• Clinical Social Worker in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.