Robert Harris Jr., MSW, JD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3270 Kerner Blvd
Suite B
San Rafael, CA 94901-4840

Phone

(415) 473-6799

Fax

(415) 473-6313

NPI assigned

Oct 18, 2006

Sex

Male

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 CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor

Practice roles

Locations

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.

• County of Marin

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1912116252
  Medicare reassignment NPD
• County of Marin

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Rafael, CA
  • NPI 1891968855
  NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1982785507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 BALRA DR",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303302",
            "telephone_number": "510-647-9936",
            "fax_number": "415-473-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 KERNER BLVD",
            "address_2": "SUITE B",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949014840",
            "telephone_number": "415-473-6799",
            "fax_number": "415-473-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "MSW, JD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Harrington, M.D.
• Amy N Harris
• Andrea Denise Harris, SUDRC#16655 10/27/23
• Douglas C. Harris, MD
• Jeffrey S. Harris, MD
• Steven Harris
• Kathryn Harrison Solana
• Sophia Lin Harrison-Wong
• Albert L Harrison
• Jill Harrison, RD

• Clinical Social Worker in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.