MEDICARE: KATHERINE HARRIS LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	2023021179	MO
2	104100000X	Social Worker	10161	KS
3	1041C0700X	Clinical Social Worker	06026	KS

General Provider Information

NPI Number	:	1912658733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE HARRIS LMSW

Provider Business Mailing Address
First Line	:	1035 JOHANNA DR
Second Line	:
City	:	BALLWIN
State	:	MO
Zip	:	63021-6436
Country	:	US
Telephone Number	:	913-915-9154
Fax Number	:

Provider Business Practice Location Address
First Line	:	1707 E CEDAR ST STE 102
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1886
Country	:	US
Telephone Number	:	913-283-5194
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	04/09/2026

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