Healthcare Provider Details

I. General information

NPI: 1225572142
Provider Name (Legal Business Name): TAMERI A HARRIS LCSW-C, LICSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2016
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7141 SECURITY BLVD
WINDSOR MILL MD
21244-1800
US

IV. Provider business mailing address

7141 SECURITY BLVD
WINDSOR MILL MD
21244-1800
US

V. Phone/Fax

Practice location:
  • Phone: 443-663-6000
  • Fax: 443-663-6083
Mailing address:
  • Phone: 443-663-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904016394
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC200001482
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number21393
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: