JEANNE HARRIS (NPI# 1275770133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275770133 |
| Entity Type | Individual |
| Full Name | JEANNE HARRIS |
| Credential | LCSW, CSAC |
| Practice Address |
300 Crooks St Green Bay WI 54301-4527 |
| Practice Telephone | 9204366800 |
| Practice Fax Number | 9204373540 |
| Mailing Telephone | 9204366800 |
| Mailing Fax Number | 9204373540 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871125500 | Jeanne Eileen Harris | Registered Nurse | 110 Queen Junction Rd, Butler, PA 16001-0114 | 2020-02-11 |
| 1912540238 | Jeanne Clack Harris | Nurse Practitioner | 3002 E Jackson St, Pensacola, FL 32503-6437 | 2019-10-18 |
| 1295825586 | Jeanne Harris | Pediatrics | 5101 N Executive Dr, Peoria, IL 61614-4868 | 2006-10-15 |
| 1194814681 | Jeanne Harris | Nurse Anesthetist, Certified Registered | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2006-10-12 |
| Street Address |
300 CROOKS ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453167 | Family Services of Northeast Wisconsin Inc | Clinic/Center | 300 Crooks St, Green Bay, WI 54301-4527 | 2005-08-03 |
| 1649898636 | Cassondra Frisque | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2020-07-07 |
| 1861011363 | Libbi H Burke | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2020-04-14 |
| 1245870583 | Diana Aguilar | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2020-01-15 |
| 1316594021 | Sophia Marie Hipke | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2019-08-19 |
| 1932642592 | Stacie M Koskinen | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2016-11-29 |
| 1033667217 | Brenda J Malcoreq | Social Worker | 300 Crooks St, Green Bay, WI 54301-4527 | 2016-09-15 |
| 1477903524 | Rebecca Arrowood | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2016-06-20 |
| 1811346745 | Sarah C Thiesfeldt | Social Worker | 300 Crooks St, Green Bay, WI 54301-4527 | 2016-06-10 |
| 1790134625 | Casey M Coughlin | Social Worker | 300 Crooks St, Green Bay, WI 54301-4527 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| 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 |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1386154235 | Sara Dorow | Social Worker | 1499 Sixth Street, Green Bay, WI 54304-5430 | 2017-10-05 |
| 1790230589 | Lois Pulvermacher and Associates LLC | Social Worker | 840 Challenger Dr Ste 130, Green Bay, WI 54311-8351 | 2016-08-22 |
| 1194190264 | Ronald Harsh | Social Worker | 1596 Jay Ln, Green Bay, WI 54304-3427 | 2015-12-01 |
| 1851622005 | Michael Andrew Larkey | Social Worker | 815 Reber St, Green Bay, WI 54302-1116 | 2010-01-27 |
| 1861665002 | Leslie A Heckman | Social Worker | 111 S Jefferson Street, Green Bay, WI 54301 | 2008-04-09 |
| 1215078662 | Lois A Pulvermacher | Social Worker | 840 Challenger Dr, Ste 130, Green Bay, WI 54311-8351 | 2007-02-09 |
| 1467599431 | Kathleen J Bahler | Social Worker | 603 Beaupre St, Green Bay, WI 54301-2412 | 2007-01-31 |
| 1437204138 | Lisa Ann Burke | Social Worker | 2339 Cedar Ridge Court, Green Bay, WI 54303 | 2007-01-24 |
| 1831243328 | Barbara D Meyer | Social Worker | 2339 Cedar Ridge, Innovative Counseling Inc, Green Bay, WI 54313 | 2007-01-22 |
| Find all providers in GREEN BAY | ||||
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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.