MR. CHARLES HARRIS SR. (NPI# 1073524005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073524005 |
| Entity Type | Individual |
| Full Name | MR. CHARLES HARRIS SR. |
| Credential | LCSW |
| Practice Address |
1230 Magnolia Dale Dr Fresno TX 77545-9680 |
| Mailing Address |
1230 Magnolia Dale Drive Fresno TX 77545 |
| Practice Telephone | 8324740812 |
| Practice Fax Number | 2818883675 |
| Mailing Telephone | 8324740812 |
| Mailing Fax Number | 2818883675 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
35131 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 156608504 | 05 | |
| TX | 156608503 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740757665 | Charles Harris | Counselor | 27940 Tyler Ln, Canyon Country, CA 91387-2918 | 2018-10-29 |
| 1699052050 | Charles Wood Harris | Physical Therapist | 880 Canyon Creek Ln, Gardnerville, NV 89460-6426 | 2011-11-12 |
| 1497964738 | Charles Noma Harris | Psychologist | 4815 Thomas Rd, Sebastopol, CA 95472-9764 | 2007-05-22 |
| 1346461423 | Charles Eugene Harris | Psychologist | 5427-a Gex Rd, Diamondhead, MS 39525 | 2007-05-02 |
| 1841411543 | Charles Ronald Harris | Pharmacist | 3621 N Highway 231, Panama City, FL 32404-9743 | 2007-05-01 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| 1770666562 | Charles R Harris Jr. | Dentist | 2922 George Washington Highway, Hayes, VA 23072 | 2006-10-23 |
| 1508979758 | Charles R Harris | Psychiatry & Neurology | 12230 Cashlenan Ln, New Lenox, IL 60451-2799 | 2006-08-15 |
| 1326065871 | Charles Harris | Emergency Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2006-07-17 |
| 1427016534 | Charles L Harris | Ophthalmology | 836 East 65th St, Bldg 34, Savannah, GA 31405-6007 | 2006-05-01 |
| Street Address |
1230 MAGNOLIA DALE DR |
| City | FRESNO |
| State | TX |
| Zip Code | 77545-9680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780100610 | Schristiandevelopment | Day Training, Developmentally Disabled Services | 3819 Teal Maple Ct., Fresno, TX 77545 | 2017-08-22 |
| 1548786924 | Katreece M Bell | Nurse Practitioner | 1834 Bravos Manor Lane, Fresno, TX 77545 | 2017-08-17 |
| 1275912735 | Evosource | Non-emergency Medical Transport (VAN) | 1307 Peacham Ct, Fresno, TX 77545 | 2015-05-29 |
| 1407241300 | Gwendolyn Champion | Physician Assistant | 4026 E Teal Estates Cir, Fresno, TX 77545 | 2015-03-30 |
| 1811394745 | Elaine Khuong | Pharmacist | 12225 Sr 6, Fresno, TX 77545 | 2014-11-20 |
| 1225442551 | Michael Jerome Tubbs | Specialist/Technologist, Other | 2126 Beacon Light Ln, Fresno, TX 77545 | 2014-06-14 |
| 1801219431 | Angelica Healthcare Services | Home Health | 3003 Valian Elm Street, Fresno, TX 77545 | 2014-02-03 |
| 1801048376 | Kroger Texas L P | Pharmacy | 10250 Fresno State Hwy 6, Fresno, TX 77545 | 2008-10-16 |
| 1215188818 | Kroger Texas Lp | Pharmacy | 10250 State Hwy 6, Fresno, CA 77545 | 2008-10-02 |
| 1528243201 | M & H Home Care Inc. | Home Health | 1335 Hunter Green Lane, Fresno, TX 77545 | 2007-12-31 |
| Find all providers in zip 77545 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668324 | Paragon Counseling and Consulting | Social Worker | 2919 Driftwood Bend Dr, Fresno, TX 77545-6113 | 2020-10-30 |
| 1104431329 | Sawndra Williams | Social Worker | 6434 N Vernal Ave, Fresno, CA 93722-9100 | 2020-09-14 |
| 1003429614 | Allyson Jennifer Torres | Social Worker | 1156 W Escalon Ave, Fresno, CA 93711-2017 | 2020-08-25 |
| 1003431958 | Samantha Oleson | Social Worker | 677 E Roberts Ave, Fresno, CA 93710-6244 | 2020-06-16 |
| 1871125005 | Gursharn Kaur Sahota | Social Worker | 6671 E Dayton Ave, Fresno, CA 93727-9137 | 2020-02-05 |
| 1073162327 | Brooke L Woods | Social Worker | 126 S Kona Ave, Fresno, CA 93727-3453 | 2019-09-10 |
| 1700439684 | Candice Valencia Wilkins | Social Worker | 2490 W Shaw Ave Ste 101, Fresno, CA 93711-3063 | 2019-07-19 |
| 1528628765 | Tyler Ryan Avila | Social Worker | 5150 N 6th St Ste 169, Fresno, CA 93710-7505 | 2019-06-19 |
| 1770141228 | Cedrina Ruffin | Social Worker | 2407 Maywood Run Ct, Fresno, TX 77545-7141 | 2019-05-30 |
| 1477013282 | Michael Francis Themins | Social Worker | 4721 W Jennifer Ave Ste 3, Fresno, CA 93722-6499 | 2019-03-20 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.