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