KELLI BRYANT HARRIS (NPI# 1790107761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790107761 |
| Entity Type | Individual |
| Full Name | KELLI BRYANT HARRIS |
| Practice Address |
394 Timber Ln Huntingdon TN 38344-1621 |
| Mailing Address |
Po Box 41 Huntingdon TN 38344-0041 |
| Practice Telephone | 7313583356 |
| Mailing Telephone | 7313585536 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CSW004625 | GA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
9034 | MS | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0000006123 | TN | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
0904008341 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8193 E Walnut Creek Rd, Cordova, TN 380187202 | 8048334945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902397565 | Kelli A. Harris | Behavior Technician | 5335 Gist Ave, Baltimore, MD 21215-4617 | 2018-05-19 |
| 1033429238 | Kelli Danielle Harris | Counselor | 418 W 4th Ave Apt B2, Tallahassee, FL 32303-6054 | 2010-10-21 |
| 1619005410 | Kelli Harris | Home Health Aide | 116 Wallace Street, Newark, OH 43055 | 2007-03-01 |
| 1801978325 | Kelli Love Harris | Chiropractor | 2000 Highway 25b North, Suite E1, Heber Springs, AR 72543 | 2006-10-20 |
| 1821647520 | Kelli D. Harris | Pharmacist | 140 Joe B Jackson Pkwy, Murfreesboro, TN 37127-7228 | 2019-09-05 |
| 1245720838 | Kelli D'ann Harris | Registered Nurse | 808 Joliet Ave Unit 220, Lubbock, TX 79415 | 2018-05-18 |
| 1770089518 | Kelli Irvin Harris | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 | 2018-04-02 |
| Street Address |
394 TIMBER LN |
| City | HUNTINGDON |
| State | TN |
| Zip Code | 38344-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801201926 | Michele Ellert | Nurse Practitioner | 710 Fairview Church Rd, Huntingdon, TN 38344 | 2014-06-26 |
| 1396064531 | Carroll Hospital Associates, Pllc | Hospitalist | 631 R. B. Wilson Drive, Huntingdon, TN 38344 | 2010-05-27 |
| 1376792804 | Clinical Radiologists, Pllc | Radiology | 631 R.b. Wilson Dr, Huntingdon, TN 38344 | 2008-09-09 |
| 1134346869 | Christie Harris | Case Manager/Care Coordinator | 19410 West Main, Huntingdon, TN 38344 | 2007-04-20 |
| 1346390515 | State of Tennessee | Public Health or Welfare | 633 High Street, Huntingdon, TN 38344 | 2007-01-11 |
| 1609806439 | Calphor S Carty | Surgery | 641 Rb Wilson Drive, Suite J, Huntingdon, TN 38344 | 2006-07-04 |
| 1376512491 | Emily Katharine Bullock | Nurse Practitioner | 641 R B Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-03-14 |
| 1184114902 | Baptist Memorial Hospital-huntingdon | Clinic/Center | 641 Rb Wilson Dr, Huntingdon, TN 38344 | 2018-05-17 |
| 1760559827 | Rafael Mario Sanchez | Emergency Medicine | 641 Rb Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-11-30 |
| 1851317051 | Jill A. Bennett | Nurse Practitioner | 641 Rb Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-07-14 |
| Find all providers in zip 38344 | ||||
| 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 |
|---|---|---|---|---|
| 1346520582 | Arless James Dodson | Social Worker | 519 Penn St, Suite 2, Huntingdon, PA 16652-1635 | 2011-08-19 |
| 1568692374 | Eileen W. Woods | Social Worker | 5 20th St, Huntingdon, PA 16652-2201 | 2009-07-15 |
| 1952462095 | Matthew Verghese | Social Worker | 727 Welsh Road Suite 202, Philmont Guidance Center, Huntingdon, PA 19006 | 2006-12-13 |
| 1245280825 | Sherri Sedgebear | Social Worker | 19410 W Main St, Huntingdon, TN 38344-3415 | 2006-05-12 |
| 1669081527 | Anchorage Counseling | Social Worker | 612 Pennsylvania Ave Ste 3, Huntingdon, PA 16652-1288 | 2020-07-27 |
| 1023672854 | Margaret Helen Stewart | Social Worker | 631 Rb Wilson Dr, Huntingdon, TN 38344-1727 | 2019-04-26 |
| 1356758791 | Shelly D Rivello | Social Worker | 1225 Warm Springs Ave, Jc Blair Memorial Hospital - Behavioral Health Services, Huntingdon, PA 16652-2350 | 2014-07-17 |
| 1023439221 | Jessica Elizabeth Dimoff Querry | Social Worker | 1225 Warm Springs Ave, Huntingdon, PA 16652-2350 | 2013-12-16 |
| 1578857355 | Sarah Jefferson | Social Worker | 313 4th St, Suite 3, Huntingdon, PA 16652-1421 | 2011-06-08 |
| 1134434814 | Julie A Gutowski | Social Worker | 900 Washington St, Huntingdon, PA 16652-1826 | 2010-08-18 |
| Find all providers in HUNTINGDON | ||||
| City | HUNTINGDON |
| Zip Code | 38344 |
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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.