JESSICA DAWN HARRIS (NPI# 1235602822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235602822 |
| Entity Type | Individual |
| Full Name | JESSICA DAWN HARRIS |
| Practice Address |
5885 S Bob White Dr Kimball MI 48074-4619 |
| Practice Telephone | 8109197251 |
| Mailing Telephone | 8109197251 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801098712 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154825 | Jessica Rea Harris | Social Worker | 409 Capitol View Dr, Jefferson City, MO 65101-3904 | 2020-05-05 |
| 1518432277 | Jessica Harris | Chiropractor | 4073 Lavista Rd Ste 371, Tucker, GA 30084-5221 | 2018-10-09 |
| 1497242564 | Jessica Harris | Specialist/Technologist | 2962 Woodcrest Dr, Panama City, FL 32405-2033 | 2018-04-15 |
| 1801391149 | Jessica L Harris | Licensed Vocational Nurse | 14 Bayberry Ct, Wichita Falls, TX 76310-3423 | 2018-03-28 |
| 1629589395 | Jessica Harris | Counselor | 13602 Colgate Way Apt 648, Silver Spring, MD 20904-7218 | 2017-10-20 |
| 1518488238 | Jessica Faye Harris | Marriage & Family Therapist | 2001 S Barrington Ave Ste 117, Los Angeles, CA 90025-5337 | 2017-07-03 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| 1336543024 | Jessica Harris | Physical Therapy Assistant | 1624 Corinthian Dr, Apt 1815, Florence, KY 41042-8879 | 2014-10-09 |
| 1396018370 | Jessica N Harris | Counselor | 380 Akolea Rd, Hilo, HI 96720-1522 | 2012-02-21 |
| 1245486182 | Jessica Boberg Harris | Specialist/Technologist | 910 S Winterhawk Dr Unit 101, St Augustine, FL 32086-3870 | 2008-08-12 |
| Street Address |
5885 S BOB WHITE DR |
| City | KIMBALL |
| State | MI |
| Zip Code | 48074-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538036 | Marisa Robbi Dunlap | Behavior Technician | 631 Richman, 631 Richman, Smiths Creek, MI 48074 | 2019-09-30 |
| 1568930501 | Audrey Christine Hollen | Behavior Technician | 4652 Cloverdale Ln, Kimball, MI 48074 | 2018-11-07 |
| 1366894818 | Gaganjot Sandhu | Student in an Organized Health Care Education/Training Program | 16001 W. Nine Miler Road, Providence-providence Park Hospitals - Southfield, Southfield, MI 48074 | 2016-07-08 |
| 1912357526 | Ashlee Marie O'shell | Student in an Organized Health Care Education/Training Program | Providence-providence Park Hospitals - Southfield, 16001 W. Nine Mile Road, Southfield, MI 48074 | 2016-06-14 |
| 1730567371 | Scott J. Ferguson Dds & Associates Pllc | Dentist | 2837 Stable Drive, Ste A, Kimball, MI 48074 | 2015-05-15 |
| 1629387337 | Tamara Dawn Lynch | Veterinarian | 367 Wadhams Rd, Smiths Creek, MI 48074 | 2010-09-29 |
| 1932348737 | Lisa Marie Rottman Adamson | Physical Therapy Assistant | 1048 Broad Ax Lane, Kimball, MI 48074 | 2009-02-18 |
| 1891858742 | Susan Millie Fagan | Dentist | 5281 Lapeer Road, Kimball, MI 48074 | 2006-12-19 |
| 1982701868 | Home Town Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5277 Lapeer Rd, Kimball, MI 48074 | 2006-09-20 |
| 1043314347 | Sacred Heart | Substance Abuse Rehabilitation Facility | 1910 Ditty Rd, Kimball, MI 48074 | 2006-09-08 |
| Find all providers in zip 48074 | ||||
| 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 |
|---|---|---|---|---|
| 1013561695 | Anchor Counseling Services, LLC | Social Worker | 4819 Lapeer Rd Ste I, Kimball, MI 48074-1544 | 2019-07-31 |
| 1164790747 | Heather Renee Miller | Social Worker | 2079 Edward Ln E, Kimball, MI 48074-1925 | 2011-12-09 |
| 1679693329 | Ryanne Leigh Grygorcewicz | Social Worker | 2884 Harwood Dr, Kimball, MI 48074-1508 | 2007-03-29 |
| 1346853108 | Blue Lake Counseling Pllc | Social Worker | 2079 Edward Ln E, Kimball, MI 48074-1925 | 2020-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629886 | Suzanne Mcnees | Social Worker | 7373 Morgan Rd E, Battle Creek, MI 49017-9705 | 2020-11-07 |
| 1366043408 | Azeldri Van Der Wath | Social Worker | 41423 Ambercrest Dr, Sterling Heights, MI 48314-3719 | 2020-11-05 |
| 1972104834 | Anne Elizabeth Rife | Social Worker | 4660 Marsh Rd Ste 27, Okemos, MI 48864-2143 | 2020-11-05 |
| 1952902199 | Nakedae R. Cooper | Social Worker | 5847 S Mohawk Ave, Ypsilanti, MI 48197-7119 | 2020-11-04 |
| 1104427368 | Kizzy Nieves | Social Worker | 52280 Cedar Mill Dr, Macomb, MI 48042-5658 | 2020-11-04 |
| 1225639560 | Ananya Avinash | Social Worker | 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 | 2020-11-03 |
| 1568062107 | Noor Mateen | Social Worker | 2564 Carpenter Rd, Ann Arbor, MI 48108-1175 | 2020-10-30 |
| 1588264808 | January Haulenbeek | Social Worker | 10093 W P Ave, Kalamazoo, MI 49009-4405 | 2020-10-27 |
| 1508466814 | Betsy Michelle Ulicki | Social Worker | 5787 Ball Ave, Harrison, MI 48625-9385 | 2020-10-27 |
| 1982203485 | Becoming You Therapy Pllc | Social Worker | 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.