ANGELA HARRIS (NPI# 1417340688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417340688 |
| Entity Type | Individual |
| Full Name | ANGELA HARRIS |
| Practice Address |
4064 Race Track Rd Grifton NC 28530-7304 |
| Practice Telephone | 2525234687 |
| Mailing Telephone | 2525234687 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
21642A | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P009384 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474828 | Angela Harris | Case Manager/Care Coordinator | 1111 W 70th St Apt 93, Shreveport, LA 71106-3558 | 2020-07-13 |
| 1831663665 | Angela Harris | Occupational Therapist | 226 Fairview Rd, Ellenwood, GA 30294-2704 | 2019-01-15 |
| 1265945034 | Angela Marie Harris | Physical Therapy Assistant | 6649 W Constitution Ln, Homosassa, FL 34448-1652 | 2017-11-14 |
| 1750833679 | Angela Harris | Behavior Technician | 4714 N Elgin Ave, Tulsa, OK 74126 | 2016-10-26 |
| 1134566334 | Angela Harris | Registered Nurse | 20309 College Park Ave, South Chesterfield, VA 23803-1653 | 2013-05-29 |
| 1689962979 | Angela D Harris | Counselor | 4757 N 76th Street, Milwaukee, WI 53218-5536 | 2011-07-20 |
| 1952561359 | Angela Harris | Social Worker | 7935 Mt Highway 35 Ste 202, Bigfork, MT 59911-5711 | 2008-06-10 |
| 1205872348 | Angela Dawn Harris | Counselor | 5 Public Square, Suite 304, Cartersville, GA 30120 | 2006-06-20 |
| 1801434600 | Angela Harris | Specialist/Technologist, Other | 45211 Helm St, Plymouth, MI 48170-6023 | 2019-12-12 |
| 1053963678 | Angela Nicole Harris | Social Worker | 6675 Mediterranean Dr Ste 504, Mckinney, TX 75072-5623 | 2019-07-13 |
| Street Address |
4064 RACE TRACK RD |
| City | GRIFTON |
| State | NC |
| Zip Code | 28530-7304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235654120 | L&c Family Care Home | Custodial Care Facility | 6347 Fairway Dr, Grifton, NC 28530 | 2017-08-11 |
| 1871034629 | Barbara Pollard | Licensed Practical Nurse | 494 E. Hanrahan Rd, Grifton, NC 28530 | 2017-03-13 |
| 1184975468 | Pitt County Group Home Board for Mentally Retarded, Autistic Persons | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6962 Church St., Grifton, NC 28530 | 2012-09-26 |
| 1205856895 | Hygeia, Inc. | Pharmacy | 512 Queen Street, Grifton, NC 28530 | 2006-07-19 |
| 1093772600 | Physicians East, Pa | Family Medicine | 416 Mccrae Street, Grifton, NC 28530 | 2006-04-27 |
| 1346242187 | Greene County Health Care Incorporated | Clinic/Center | 540 Queen St, Grifton, NC 28530 | 2005-08-11 |
| 1164773065 | Pitt County Group Home Board for Mentally Retarded, Autistic Persons | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6570 Fairway Dr, Grifton, NC 28530-0009 | 2012-10-02 |
| 1841315132 | Pitt County Group Home Board for Mentally Retarded, Autistic Persons | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 560 West Queen St., Grifton, NC 28530-0009 | 2007-03-19 |
| 1962537886 | Dixon House LLC | Assisted Living Facility | 716 Wall Street, Grifton, NC 28530-1059 | 2007-02-22 |
| 1407386030 | Simms Assisted Living LLC | Assisted Living Facility | 716 Wall St, Grifton, NC 28530-7035 | 2017-06-15 |
| Find all providers in zip 28530 | ||||
| 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 |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANGELA HARRIS.
| 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.