NPIMap

Maria Louise Harris, LCSW

Individual provider Active NPI Social Worker · Fairfield, CA

NPI 1942353636 · NPPES record last updated Jun 14, 2023

Key facts

NPI
1942353636
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
4820 Business Center Dr Ste 210
Fairfield, CA 94534-1696
Phone
(707) 425-9670
Fax
(707) 425-9880
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

  • Aldea Inc Community/Behavioral Health Agency · Fairfield, CA · NPI 1023419652
    NPD
  • Aldea, Inc Community/Behavioral Health Agency · Fairfield, CA · NPI 1972897346
    NPD

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCS 14773CAMDClinical Social Worker
LCS14773CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aldea Inc Current
since Jun 18, 2023		 Accepting new patients
Aldea, Inc Current
since Jun 18, 2023		 Accepting new patients

Locations

470 Chadbourne Rd
Ste E
Fairfield, CA 94534
Phone (707) 425-9670

4820 Business Center Dr
Ste 210
Fairfield, CA 94534
Phone (707) 425-9670

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS14773 CA
Clinical Social Worker 1041C0700X LCS 14773 CA
Social Worker 104100000X Yes

Addresses

Primary practice location

4820 Business Center Dr Ste 210
Fairfield, CA 94534-1696

Mailing address

PO Box 2102
Fairfield, CA 94533-0210
Phone (707) 425-9670

Other providers in Fairfield, CA

All providers in Fairfield, CA · Social Worker in California

Sources for this page

Verify at the official NPI Registry.