Individual provider · Type 1 NPI

Fachon Harris, LCSW-A, LCAS-A

Clinical Social Worker · Raleigh, NC

NPI number 1912506072 Active

Practice location

3012 Falstaff Rd
Raleigh, NC 27610-1813

Mailing address

706 Green Pace Rd
Zebulon, NC 27597-8541

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700XP013459 (NC)

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 1912506072

Fachon Harris, LCSW-A, LCAS-A's National Provider Identifier is 1912506072, issued on Oct 20, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Oct 20, 2020.