Carol Sue Harris is a Clinical in Brighton, Massachusetts. Carol Sue Harris practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carol Sue Harris is 1780785840. The last update date is 2009-05-20.
Carol Sue Harris's current location address is 77 Warren St, Brighton, Massachusetts. You can contact this provider via phone number 6177874662 and fax number 6177874662. The mailing address for Carol Sue Harris is 77 Warren St, Brighton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Sue Harris |
|---|---|
| Address | 77 Warren St, Brighton, Massachusetts |
| Phone Number | 6177874662 |
| Fax Number | 6177874662 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1780785840 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2009-05-20 |
Provider Mailing Address Detail
| Address | 77 Warren St |
|---|---|
| City | Brighton |
| State | Massachusetts (MA) |
| Post Code | 21353601 |
| Phone Number | 6177874662 |
| Fax Number | 6177874662 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 105567 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 147511000 | MA | HMO/MAGELLAN | |
| 8625 | MA | PACIFICARE | |
| 602105 | MA | TUFTS | |
| P06741 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Carol Sue Harris's 1780785840?
The Carol Sue Harris's NPI (National Provider Identifier) Number is 1780785840. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Carol Sue Harris's facilities are geographically located?
The facilities of Carol Sue Harris are physically situated at the following location: 77 Warren St, Brighton, MA, 21353601.
What is the Carol Sue Harris's area of specialization and corresponding taxonomy classification?
The Carol Sue Harris's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780785840 to Carol Sue Harris?
The Centers for Medicare & Medicaid Services originally issued the 1780785840 to Carol Sue Harris on 2006-09-25.
As of what date was the information regarding Carol Sue Harris, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Carol Sue Harris, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-05-20.
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