MRS. BEVERLY DAWN HARRIS


Address: 2715 E Logan St, Republic, MO 65738-2293
Phone: 4174592969

MRS. BEVERLY DAWN HARRIS (NPI# 1295896405) 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) 1295896405
Entity Type Individual
Full Name MRS. BEVERLY DAWN HARRIS
Credential MSW, PLCSW
Practice Address 2715 E Logan St
Republic
MO 65738-2293
Practice Telephone 4174592969
Mailing Telephone 4174592969
Enumeration Date 2006-12-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
2006022591 MO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 491031100 05

Other Providers BEVERLY HARRIS

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1003810615 Beverly Ann Harris Specialist 8706 Contee Rd, Suite 13, Laurel, MD 20708-1939 2005-06-10
1902387624 Beverly Ruth Harris Behavior Technician 1947 Galileo Ct Ste 101, Davis, CA 95618-4882 2018-08-22
1962876094 Beverly Harris Counselor 900 Shugart Rd, Dalton, GA 30720-2467 2015-12-01
1235465485 Beverly Jane Harris Counselor 8035 E R L Thornton Fwy, Suite #503, Dallas, TX 75228-7018 2009-10-22
1255585485 Beverly Harris Nurse Practitioner 100 Boston Rd, Suite E, Groton, MA 01450-1879 2008-11-14
1407867302 Beverly L Harris Counselor 2409 Homer Clayton Dr, Guntersville, AL 35976-2207 2006-08-10
1679521819 Beverly L Harris Internal Medicine 1900 Kildaire Farm Rd, Cary, NC 27518-6616 2006-05-04
1720046832 Beverly Harris Obstetrics & Gynecology 2251 Stantonsburg Rd, Greenville, NC 27834-2841 2006-05-01

Office Location

Street Address 2715 E LOGAN ST
City REPUBLIC
State MO
Zip Code 65738-2293

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215585922 Lawana Kay Patterson Technician 1702 East New Madrid, Republic, MO 65738 2019-08-27
1497219059 Samantha J Steed Chiropractor 530 E Hadley St, Republic, MO 65738 2019-01-29
1962643338 Dave Bremer Physical Therapist 5030 S Westwood Dr, Republic, MO 65738 2009-03-16
1689704918 Kevin Edward Medlin Dentist 834 S Illinois Ave, Republic, MO 65738 2007-03-06
1437284023 Teresa Ann Davidson Occupational Therapist 1983 S Fr 69, Republic, MO 65738 2007-02-22
1144303363 Marcia L Preston Dentist 604 East Elm, Republic, MO 65738 2006-10-23
1801908355 David Kent Budd Dentist 1093 Us Highway 60 E, Republic, MO 65738 2006-08-31
1124011630 Jonathan K Armstrong Chiropractor 851 S Colorado, Republic, MO 65738 2005-08-30
1861970816 Matthew Charles Mcnitt Pharmacist 1173 E Hines St, Republic, MO 65738 2018-08-01
1194237826 Alexandria Paige Holmes Optometrist 612 E Elm St, Republic, MO 65738 2017-11-03
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609335165 Cara Marie Shanks Social Worker 2030 E Charles St, Republic, MO 65738-2653 2019-03-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306447701 Constance Fulks Social Worker 1141 Wooden Dr, Florissant, MO 63033-5954 2020-11-03
1447850870 Convergence Counseling Services, LLC Social Worker 7612 E 113th St, Kansas City, MO 64134-2946 2020-10-26
1336748599 Meghan Lyn Mallams Social Worker 28 Westwoods Dr Ste 107, Liberty, MO 64068-3520 2020-10-20
1639777154 Keisa D. Baker Social Worker 7716 Arlington Ave, Raytown, MO 64138-1654 2020-10-16
1811595697 Sarah Nicole Bailey Social Worker 27759 Rock Ave, Bell City, MO 63735-8111 2020-10-13
1629676929 Katrina Louise Routh Social Worker 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 2020-10-09
1184221368 Deborah L Tannenbaum, Lcsw, LLC Social Worker 3000 Arrow Rock Dr, Saint Charles, MO 63303-6502 2020-10-01
1407463706 Allison Nichole Kemble Social Worker 806 Shawn Ct, Centralia, MO 65240-4320 2020-09-30
1336756949 Megan Krystal Draper Social Worker 8425 Locust St, Kansas City, MO 64131-2223 2020-09-28
1730796541 Angelita Pritchett Social Worker 908 Glencoe, Park Hills, MO 63601-1931 2020-09-25
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Competitor

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City REPUBLIC
Zip Code 65738

Improve Information

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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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