Provider Demographics
NPI:1811133044
Name:HARRIS, CHRISTOPHER HAWTHORNE (MSW (LCSW-NYS))
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:HAWTHORNE
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MSW (LCSW-NYS)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 W. 31 ST.
Mailing Address - Street 2:JASA
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:212-273-5200
Mailing Address - Fax:212-695-9070
Practice Address - Street 1:132 W. 31 ST.
Practice Address - Street 2:JASA
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-273-5200
Practice Address - Fax:212-695-9070
Is Sole Proprietor?:No
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073454-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical