Provider Demographics
NPI:1275273963
Name:HARRIS, CAROLINE S (MSW)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:S
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 AJ GORDON CT # B205
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-2276
Mailing Address - Country:US
Mailing Address - Phone:336-905-2006
Mailing Address - Fax:
Practice Address - Street 1:22 AJ GORDON CT # B205
Practice Address - Street 2:
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-2276
Practice Address - Country:US
Practice Address - Phone:336-905-2006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical