LINDA A. HARRIS


Address: 63 Daytona Avenue, Webster, NY 14580
Phone: 5855455070

LINDA A. HARRIS (NPI# 1265897276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265897276
Entity Type Organization
Organization Name LINDA A. HARRIS
Practice Address 63 Daytona Avenue
Webster
NY 14580
Mailing Address 63 Daytona Ave
Webster
NY 14580-2201
Practice Telephone 5855455070
Mailing Telephone 5855455070
Enumeration Date 2015-12-17
Last Update Date 2015-12-17
Authorized Official Name MRS. LINDA ANNE HARRIS (CLINICAL SOCIAL WORKER, (LCSW))
Authorized Official Telephone 5855455070
Authorized Official Credential LCSWR
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
07886791 NY Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations LINDA A. HARRISON, LLC 25960 Ohio Ave Ne, Kingston, WA 98346

Office Location

Street Address 63 DAYTONA AVENUE
City WEBSTER
State NY
Zip Code 14580

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1699329946 Jillian Schifano Sweeney Registered Nurse 119 South Ave, Wcsd, Webster, NY 14580 2019-07-25
1699232355 Kw Health System, Inc. Clinic/Center 53 Salori Court, Temporary Location, Webster, NY 14580 2019-02-28
1174090393 Brent William Fairchild Physician Assistant 1081 Bright Stream Way, Webster, NY 14580 2018-10-25
1114435500 Vanisha Mcbean Licensed Practical Nurse 164 Country Manor Way Apt 22, Webster, NY 14580 2018-01-19
1235658204 Amarilis Perez Licensed Practical Nurse 15 Huntsman Way, Webster, NY 14580 2017-09-11
1710425178 Michelle Malle Michlin Licensed Practical Nurse 1095 Fawnwood Drive, Webster, NY 14580 2017-02-06
1851743900 Linda A Harris Social Worker 63 Daytona Ave, Webster, NY 14580 2016-07-12
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City WEBSTER
Zip Code 14580

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Dataset Information

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.

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