Provider Demographics
NPI:1417296278
Name:HARRIS-BLACK, HOPE (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:
Last Name:HARRIS-BLACK
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 CONNECTICUT AVENUE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5505
Mailing Address - Country:US
Mailing Address - Phone:240-424-0184
Mailing Address - Fax:301-565-2217
Practice Address - Street 1:8401 CONNECTICUT AVENUE
Practice Address - Street 2:SUITE 700
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5505
Practice Address - Country:US
Practice Address - Phone:240-424-0184
Practice Address - Fax:301-565-2217
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16407104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker