Provider Demographics
NPI:1821032582
Name:HARPER, JEANNE Y (LMSW)
Entity type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:Y
Last Name:HARPER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 LEE ROAD 2120
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36804-2544
Mailing Address - Country:US
Mailing Address - Phone:316-518-3421
Mailing Address - Fax:316-941-5075
Practice Address - Street 1:105 LEE ROAD 2120
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36804-2544
Practice Address - Country:US
Practice Address - Phone:316-518-3421
Practice Address - Fax:316-660-9669
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5444104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS070062OtherBLUE CROSS BLUE SHIELD