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NPI Code Detail

MEDICARE: RILEY JAMES HARRIS

MEDICARE: RILEY JAMES HARRIS
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
11041C0700XClinical Social WorkerLCSW2140419MA

General Provider Information

NPI Number : 1992570048
Entity Type Code : Individual
Provider Name (Legal Business Name) : RILEY JAMES HARRIS
Provider Business Mailing Address
First Line : 5025 THACHER RD
Second Line :
City : OJAI
State : CA
Zip : 93023-8304
Country : US
Telephone Number : 732-232-8500
Fax Number :
Provider Business Practice Location Address
First Line : 450 BEDFORD ST STE 2400
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-1544
Country : US
Telephone Number : 781-633-7779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2023
Last Update Date : 04/14/2025

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