RANDALL M. HARRIS (NPI# 1710142666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710142666 |
| Entity Type | Individual |
| Full Name | RANDALL M. HARRIS |
| Credential | LCSW |
| Practice Address |
54 W 40th St Daytop Village New York NY 10018-2602 |
| Mailing Address |
Po Box 663 Jeffersonville NY 12748-0663 |
| Practice Telephone | 8452922089 |
| Practice Fax Number | 8452924652 |
| Mailing Telephone | 8454825877 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2010-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
042110 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205262086 | Randall E. Harris | Preventive Medicine | 1841 Neil Ave, 306 Cunz Hall, Columbus, OH 43210-1351 | 2013-09-24 |
| 1497753321 | Randall J Harris | Internal Medicine | 224 W Exchange St Ste 380, Akron, OH 44302-1796 | 2005-07-13 |
| 1386906105 | Randall Justin Harris | Counselor | 20400 Col Glenn Rd, Little Rock, AR 72210-5323 | 2012-06-08 |
| 1093977811 | Randall D. Harris | Dentist | 1527 Route 12, Gales Ferry, CT 06335-1800 | 2008-07-02 |
| 1659548725 | Randall Jay Harris | Psychologist | 1765 Goucher St, Johnstown, PA 15905-1101 | 2008-05-08 |
| 1144368820 | Randall Eugene Harris | Pharmacist | 3416 Columbus Ave, Sandusky, OH 44870-5557 | 2007-02-02 |
| Street Address |
54 W 40TH ST DAYTOP VILLAGE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10018-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790832376 | Daytop Village Inc. | Nursing Facility/Intermediate Care Facility | 54 W 40th St, New York, NY 10018-2602 | 2007-01-04 |
| 1598042947 | Jahkeia Rodgers | Registered Nurse | 54 W 40th St, New York, NY 10018-2602 | 2011-11-14 |
| 1548548282 | Patricia Irene Vanderploeg | Licensed Practical Nurse | 54 W 40th St, New York, NY 10018-2602 | 2011-07-29 |
| 1841586138 | Deborah Dee Fitzpatrick | Registered Nurse | 54 W 40th St, New York, NY 10018-2602 | 2011-06-24 |
| 1487977815 | Mary Mancuso | Registered Nurse | 54 W 40th St, New York, NY 10018-2602 | 2010-03-13 |
| 1821327065 | David Arthur Glazier | Social Worker | 54 W 40th St, New York, NY 10018-2602 | 2009-12-17 |
| 1255660510 | Denise Rae Fredette | Social Worker | 54 W 40th St, New York, NY 10018-2602 | 2009-12-16 |
| 1124178181 | Mary Jane Delgado | Registered Nurse | 54 W 40th St, Daytop, New York, NY 10018-2602 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451325 | Nishi Sanjay Patel | Physical Therapist | 12 West 37th Street, Suite 1202, New York, NY 10018 | 2020-06-15 |
| 1962023168 | Brand Therapy Psychological Services PC | Psychologist | 50 West 39th St, Suite 305, New York, NY 10018 | 2020-04-29 |
| 1215587985 | Nicole Kosanke | Psychologist | 519 8th Avenue, 9th Floor, New York, NY 10018 | 2019-09-16 |
| 1487216073 | Roselaure Luca | Nurse Practitioner | 5 Bryant Park, 5th Floor, New York, NY 10018 | 2019-07-03 |
| 1609439942 | Kamiyama Physical Therapy Pllc | Physical Therapist | 1410 Broadway Concourse Level, New York, NY 10018 | 2019-04-22 |
| 1609339126 | Bryan I. Proano | Social Worker | 550 10th Ave., New York, NY 10018 | 2019-04-11 |
| 1053876318 | Nitzia Mariana Dacosta | Registered Nurse | 505 8th Ave Suite 200, New York, NY 10018 | 2019-01-31 |
| 1871060640 | Jose Jean Paul Miliano | Case Manager/Care Coordinator | 535 Eighth Avenue. 2nd Floor, New York, NY 10018 | 2018-10-30 |
| 1902372220 | Stephanie Lai | Social Worker | 550 Tenth Avenue, New York, NY 10018 | 2018-10-15 |
| 1528554912 | Positive Health Project, Inc. | Counselor | 301 W 37th St Fl 3, New York, NY 10018 | 2018-07-09 |
| Find all providers in zip 10018 | ||||
| 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 |
|---|---|---|---|---|
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1316546807 | Nicole D'angelo | Social Worker | 511 E 81st St Apt 11, New York, NY 10028-2512 | 2020-10-26 |
| 1730788993 | Nancy Bacher | Social Worker | 1770 Madison Ave, New York, NY 10035-4787 | 2020-10-20 |
| 1346849676 | Marlene St. Vil Darbouze | Social Worker | 156 W 119th St Apt 1, New York, NY 10026-1354 | 2020-10-19 |
| 1720686702 | Elizabeth Orent | Social Worker | 310 E 23rd St Apt 6c, New York, NY 10010-4703 | 2020-10-13 |
| 1548868607 | Prescott Psychotherapy Wellness Lcsw Pllc | Social Worker | 285 Lexington Ave Fl 2a, New York, NY 10016-3592 | 2020-10-12 |
| 1003413410 | Caprice Royal, Lcsw P.l.l.c | Social Worker | 368 Saint Nicholas Ave Apt 2a, New York, NY 10027-7678 | 2020-10-08 |
| 1669079364 | Nina Michelle Libson | Social Worker | 405 E 14th St Apt 6e, New York, NY 10009-2703 | 2020-10-06 |
| 1588279954 | Robert Mladinich | Social Worker | 6 Stuyvesant Oval Apt 5g, New York, NY 10009-2416 | 2020-09-13 |
| Find all providers in NEW YORK | ||||
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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.