Jim Keith Harris is a Clinical in Decatur, Georgia. Jim Keith Harris practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jim Keith Harris is 1962538785. The last update date is 2007-07-08.
Jim Keith Harris's current location address is 623 Wendan Dr, Decatur, Georgia. You can contact this provider via phone number 7702422340. The mailing address for Jim Keith Harris is 623 Wendan Dr, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jim Keith Harris |
|---|---|
| Address | 623 Wendan Dr, Decatur, Georgia |
| Phone Number | 7702422340 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1962538785 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 623 Wendan Dr |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300335550 |
| Phone Number | 7702422340 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW001491 |
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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, certif |
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What is the unique 10-digit identifier code issued to Jim Keith Harris by the Centers for Medicare & Medicaid Services?
The Jim Keith Harris has been assigned the NPI (National Provider Identifier) 1962538785 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jim Keith Harris located?
The Jim Keith Harris is located at 623 Wendan Dr, Decatur, GA 300335550.
What is Jim Keith Harris's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jim Keith Harris's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Jim Keith Harris receive its 1962538785 assignment?
The Jim Keith Harris was assigned its 1962538785 on 2007-02-26, which is the date when this unique identifier was issued to the organization.
When was the Jim Keith Harris's information last updated?
The Jim Keith Harris's information was last updated on 2007-07-08.