Healthcare Provider Details

I. General information

NPI: 1922635002
Provider Name (Legal Business Name): BETH ANN LAPORTE HARRIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETH ANN LAPORTE HARRIS LCSW

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 02/21/2026
Certification Date: 02/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 MOHAWK ST
HERKIMER NY
13350-2245
US

IV. Provider business mailing address

245 STARR RD
RAVENA NY
12143-2508
US

V. Phone/Fax

Practice location:
  • Phone: 315-507-3858
  • Fax:
Mailing address:
  • Phone: 315-717-2083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number084260
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: