Jazlyn Harris, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020450 Issued in NC

Practice address

804 S Garnett St
Henderson, NC 27536-4571

Phone

(980) 890-7995

NPI assigned

Mar 3, 2025

Last updated

Mar 3, 2025By the provider in NPPES

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

Other names 1

• Jazlyn Harris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1922806413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 PERRIN DR",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704278764",
            "telephone_number": "985-516-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S GARNETT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364571",
            "telephone_number": "980-890-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JAZLYN",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAZLYN",
            "last_name": "HARRIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott Jeremiah Hargrove, OWNER
• James L Harmon, ANP
• Thomas Harrell
• Angela Harris
• Crystal Mikhail Yvonnie Harris
• Susan Hartner
• Shelley Hawkins, FNP-C
• Katina Patrice Hayes, P-LCSW
• Tinekequa Gabrielle Hayes, LCASA
• Allison Anne Hayhurst, PA-C

• Clinical Social Worker in Henderson, NC
• Providers in Henderson, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.