Healthcare Provider Details

I. General information

NPI: 1225610066
Provider Name (Legal Business Name): ALAN CHRISTOPHER HARAS MA, MSW, LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4646 JOHN R ST
DETROIT MI
48201-1916
US

IV. Provider business mailing address

421 PINE ST APT B
ROCHESTER MI
48307-1988
US

V. Phone/Fax

Practice location:
  • Phone: 313-952-5635
  • Fax:
Mailing address:
  • Phone: 586-321-6931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801116492
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801116492
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: