Pat Harris, LICSW
Individual provider Active NPI Clinical Social Worker · Elkview, WV
NPI 1992847776 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992847776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- DP00940656 (WV)
- Practice address
- 191 Quick Rd
Elkview, WV 25071-9562 - Phone
- (304) 965-1521
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP00940656 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herbert J Thomas Memorial Hospital Association | Past | Accepting new patients | |
| Herbert J. Thomas Memorial Hospital Association | Past | Accepting new patients | |
| Dr Tara F Ray Psychiatric Servcies, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | DP00940656 | WV | Yes |
Addresses
Primary practice location
191 Quick Rd
Elkview, WV 25071-9562
Mailing address
191 Quick Rd
Elkview, WV 25071-9562
Phone (304) 965-1521
Other providers in Elkview, WV
- Shawn K Gue
- Kimberly Dawn Gum
- Makayla Brooke Gunter
- Allison Harper
- Laura Beth Harper
- Daniel Harrison Jr.
- Jocelyn Hayhurst
- Georgia Haynes
- Paul Henderson
- Holistic Healing: Mind Body Spirit
All providers in Elkview, WV · Clinical Social Worker in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.