MS. JAN HARRIS (NPI# 1043418551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043418551 |
| Entity Type | Individual |
| Full Name | MS. JAN HARRIS |
| Credential | LCSW |
| Practice Address |
660 Monterey Rd South Pasadena CA 91030-3618 |
| Practice Telephone | 6264039101 |
| Mailing Telephone | 6264039101 |
| Mailing Fax Number | 6264039101 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS10312 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSED CLINICAL SOCIAL | LCS10312 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1011 Baldwin Park Blvd, Pediatric Clinic, Baldwin Park, CA 917065806 | 6268515013 | 6264039101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861604845 | Jan Harris | Occupational Therapist | Rr 2 Box A, Milford, NE 68405 | 2007-05-04 |
| 1083091102 | Jan Harris | Pharmacist | 19390 Cortez Blvd, Brooksville, FL 34601-3041 | 2015-04-27 |
| Street Address |
660 MONTEREY RD |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| 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 |
|---|---|---|---|---|
| 1174146351 | Stan Smith Smith | Social Worker | 330 Raymondale Dr Apt 2, South Pasadena, CA 91030-2118 | 2020-05-22 |
| 1083130397 | Jeanette Zepeda | Social Worker | 226 Fair Oaks Ave Apt B, South Pasadena, CA 91030-1801 | 2017-08-17 |
| 1750620498 | Lori Prince | Social Worker | 1135 Pasadena Ave S Ste 311, South Pasadena, FL 33707-2856 | 2013-01-31 |
| 1114112679 | Donna M Mince-lewis | Social Worker | 923 Adelaine Ave, South Pasadena, CA 91030-3001 | 2007-09-07 |
| 1457571234 | Yolanda Jauregui | Social Worker | 1148 Garfield Ave, South Pasadena, CA 91030-3422 | 2007-04-26 |
| 1770604340 | Linda Kay Waters | Social Worker | 1101 Fremont Ave, Ste 101, South Pasadena, CA 91030-3290 | 2007-04-02 |
| 1144358961 | Young Mi Lin | Social Worker | 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030-5805 | 2007-03-01 |
| 1275673543 | Ninnette Gutierrez | Social Worker | 1136 Fremont Ave Ste 101, South Pasadena, CA 91030-3249 | 2007-02-07 |
| 1104983626 | Lois Marie Davis | Social Worker | 1910 Huntington Drive, South Pasadena, CA 91030 | 2007-01-03 |
| 1366517567 | Virginia Burgess | Social Worker | 2525 Pasadena Ave S Ste M, South Pasadena, FL 33707-4556 | 2006-11-22 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
Please comment or provide details below to improve the information on MS. JAN 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.