Individual provider · Type 1 NPI

Randall M. Harris, LCSW

Clinical Social Worker · New York, NY

NPI number 1710142666 Active

Practice location

54 W 40th St, Daytop Village
New York, NY 10018-2602

Call (845) 292-2089 Map

Fax (845) 292-4652

Mailing address

PO Box 663
Jeffersonville, NY 12748-0663

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X042110 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1710142666

Randall M. Harris, LCSW's National Provider Identifier is 1710142666, issued on Jul 21, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jan 15, 2010.