Individual provider Active NPI

Gregory Harlin, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1992425755
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68625 Issued in TX
Practice address
4040 Travis St Apt 111
Dallas, TX 75204-1774
Phone
(469) 418-2627
NPI assigned
Aug 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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 68625 TX Primary

Addresses

Primary practice location

4040 Travis St Apt 111
Dallas, TX 75204-1774

Mailing address

4040 Travis St Apt 111
Dallas, TX 75204-1774
Phone (469) 418-2627

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address therapy@gharlin.org Direct

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
68625TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1992425755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 TRAVIS ST APT 111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041774",
            "telephone_number": "469-418-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 TRAVIS ST APT 111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041774",
            "telephone_number": "469-418-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLIN",
        "first_name": "GREGORY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therapy@gharlin.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4040 Travis St Apt 111",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752041774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.