CARMEN J HARRIS


Address: 140 Gibson St, Ukiah, CA 95482-3941
Phone: 7074685536

CARMEN J HARRIS (NPI# 1730229675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730229675
Entity Type Individual
Full Name CARMEN J HARRIS
Other Name CARMEN J BROWN
Practice Address 140 Gibson St
Ukiah
CA 95482-3941
Mailing Address Po Box 2077
Ukiah
CA 95482-2077
Practice Telephone 7074685536
Mailing Telephone 7074722922
Enumeration Date 2007-02-08
Last Update Date 2020-06-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 88840 CA Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
88840 CA Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
88840 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
310 3rd St, Eureka, CA 955010492 7074672010
631 S Orchard Ave, Ukiah, CA 954825011 7074672010
810 N State St, Ukiah, CA 954823410 7074627267

Other Providers CARMEN HARRIS

NPI Name Taxonomy Address Enumeration
1881176766 Carmen Harris Counselor 1012 W Macarthur Ave, Odessa, TX 79763-3341 2018-09-06
1811343148 Carmen Harris Nutritionist 854 W James Campbell Blvd, Suite 100, Columbia, TN 38401-4659 2016-05-05

Office Location

Street Address 140 GIBSON ST
City UKIAH
State CA
Zip Code 95482-3941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326656299 Ruby Sanchez Montiel Counselor 140 Gibson St, Ukiah, CA 95482-3941 2020-07-16
1497397178 Karl Weaver Counselor 140 Gibson St, Ukiah, CA 95482-3941 2019-10-14
1689237125 Coni Shepard Counselor 140 Gibson St, Ukiah, CA 95482-3941 2019-04-19
1366929929 Ashley Hall Counselor 140 Gibson St, Ukiah, CA 95482-3941 2018-07-25
1861989865 Keith Vidra Counselor 140 Gibson St, Ukiah, CA 95482-3941 2018-04-16
1548763436 Melinda Kerr Counselor 140 Gibson St, Ukiah, CA 95482-3941 2018-03-16
1356854368 Christine Hawley Counselor 140 Gibson St, Ukiah, CA 95482-3941 2017-11-13
1235658899 Jenna Saraceno Counselor 140 Gibson St, Ukiah, CA 95482-3941 2017-09-14
1437682234 Sierra Goeken Counselor 140 Gibson St, Ukiah, CA 95482-3941 2017-04-07
1750744090 Edgar Damian Counselor 140 Gibson St, Ukiah, CA 95482-3941 2016-04-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932726726 Gloria Gonzalez Campise Midwife 205 W. Clay Street, Ukiah, CA 95482 2020-06-29
1083255095 Mendocino Care Network Internal Medicine 1080 N State St, Ukiah, CA 95482 2019-10-01
1801383153 Costco Wholesale Corporation Pharmacy 1275 Airport Park Blvd., Ukiah, CA 95482 2018-04-21
1922528256 Ian David Winter Case Manager/Care Coordinator 1120 S. Dora St, Ukiah, CA 95482 2017-06-27
1568917938 Rebecca Ann Dragomani Nurse Practitioner 260 Hospital Dr Ste 101, Ukiah, CA 95482 2016-08-16
1811362536 Manzanita Services, Inc. Community/Behavioral Health 410 W. Jones St., Ukiah, CA 95482 2015-12-07
1689061061 Pamela Mathias Counselor 367 East Gobbi Street, Suite E, Ukiah, CA 95482 2015-04-23
1275927030 Jack David Segel Counselor 564 Dora St., Ste.d, Ukiah, CA 95482 2015-03-19
1689070211 Mendocino County Youth Project Clinic/Center 347 Plum St, #b, Ukiah, CA 95482 2014-11-10
1346649951 Ae Ran Ku Dentist 1096 South Dora Street, Ukiah, CA 95482 2014-08-19
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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, 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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023416302 Terence James Stoekl Social Worker 425 E. Gobbi St., #74, Ukiah, CA 95482-5525 2014-12-18
1346592946 Brenda Flynn Clark Social Worker 601n State St, Ukiah, CA 95482-4026 2012-10-05
1013277292 Caroline Vidal Social Worker 290 E. Gobbi St., Ukiah, CA 95482 2012-05-22
1821369604 Darren Smallen Social Worker 747 South State Street, Mendicino County, Ukiah, CA 95482 2012-01-25
1215114624 Susan Margo Frank Social Worker 518 S School St Ste 102, Ukiah, CA 95482-5480 2008-01-28
1942416474 Loren Frank Mcgarvey Social Worker 1480 Sanford Ranch Rd, Ukiah, CA 95482-5247 2007-05-14
1093853251 Joan C Rousseau Social Worker 350 E. Gobbi, Ukiah, CA 95482 2007-02-01
1912058090 Kevin Louis Gutfeld Social Worker 216 W Perkins St Ste 207, Ukiah, CA 95482-4859 2007-01-15
1609961093 Jennifer Bennett-jordan Social Worker 216 W. Perkins St., Ste. 208, Ukiah, CA 95482-4859 2006-10-03
1699876920 Terrance Harold Kennedy Social Worker 518 S School St, Ste. 203, Ukiah, CA 95482-5479 2006-09-26
Find all providers in UKIAH

Competitor

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City UKIAH
Zip Code 95482

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Dataset Information

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.

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