Provider Demographics
NPI:1255015970
Name:HARMON, KASSY (LMSW)
Entity type:Individual
Prefix:
First Name:KASSY
Middle Name:
Last Name:HARMON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KASSY
Other - Middle Name:
Other - Last Name:MASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:316 BIG SON LN
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-0710
Mailing Address - Country:US
Mailing Address - Phone:916-337-6895
Mailing Address - Fax:
Practice Address - Street 1:316 BIG SON LN
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-0710
Practice Address - Country:US
Practice Address - Phone:916-337-6895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11862104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker