Charlotte Harris

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1520 Issued in AZ

Practice address

2556 N 44TH Ave
Phoenix, AZ 85035-2382

Phone

(602) 278-2613

NPI assigned

Nov 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Charlotte Howard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Aw Mini Service LLC

  dba A&W Mini Services

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1740569979
  NPD (past)

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1942455316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE",
            "address_2": "310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152450",
            "telephone_number": "602-433-1344",
            "fax_number": "602-249-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 N 44TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850352382",
            "telephone_number": "602-278-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHARLOTTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "1520",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AZ",
            "license": "1520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "HOWARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin K. Harris Keith Harris, M.D.
• Brian Carl Harris, D.D.S.
• Brittani Nichole Harris, M.ED., BCBA
• Brittney Nicole Harris, LAC
• Cathleen Marie Harris, MD
• Cierra Harris, SLPA
• Colby Kant Harris, PH.D.
• Collette Rochelle Harris, MD
• Craig Anthony Harris, CPNP-PC
• Danny Harris, RCP

• Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.