Individual provider Active NPI

Gail Louise Harris, LCSW

  • Clinical Social Worker
  • Miami Beach, FL
National Provider Identifier
1972588135
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0002489 Issued in FL
Practice address
975 Arthur Godfrey Rd Ste 303
Miami Beach, FL 33140-3342
Phone
(305) 864-7662
NPI assigned
Dec 9, 2005
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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 SW0002489 FL Primary

Addresses

Primary practice location

975 Arthur Godfrey Rd Ste 303
Miami Beach, FL 33140-3342

Mailing address

975 Arthur Godfrey Rd Ste 303
Miami Beach, FL 33140-3342
Phone (786) 210-4814

Other identifiers 1

IdentifierTypeStateIssuer
2104237 00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120905000594 FL Practitioner - Clinical Social Worker 9133376650 Practice locations: Miami Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 Island Ave
Apt 2211
Miami Beach, FL 33139-1362

975 Arthur Godfrey Rd
Suite 303
Miami Beach, FL 33140-3342
Phone (786) 210-4814

Gail L Harris
9 Island Ave Unit 2211
Miami Beach, FL 33139-1362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW0002489FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1972588135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 ARTHUR GODFREY RD STE 303",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403342",
            "telephone_number": "786-210-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 ARTHUR GODFREY RD STE 303",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403342",
            "telephone_number": "305-864-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GAIL",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0002489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2104237 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.