KATHERINE HARRIS (CLINICAL SOCIAL WORK) – Social Worker, NPI 1912658733

KATHERINE HARRIS (CLINICAL SOCIAL WORK) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials CLINICAL SOCIAL WORK. They hold a License No. 2023021179 (MO). The NPI Number for KATHERINE HARRIS (CLINICAL SOCIAL WORK) is 1912658733

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE HARRIS (CLINICAL SOCIAL WORK)
NPI
1912658733
Phone
(913) 283-5194
Address
525 S 4th St Ste 471
Enumeration Date
13 January 2022
Last Update Date
6 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4153603348
Graduation Year
2016 (10 years ago)
PAC ID
6305372806
Group Practice PAC ID
9234525098
Professional Enrollment ID
I20241206003156
Address ID
MO63133XXXXSAXXXXXXXXXX00
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:4State licenses:4Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for KATHERINE HARRIS (CLINICAL SOCIAL WORK)

  • 525 S 4th St Ste 471

    Philadelphia, PA 191471582

    Phone: (913) 283-5194

    Type: Location

  • 1035 JOHANNA DR

    BALLWIN, MO 630216436

    Phone: (913) 915-9154

    Type: Mailing

  • 1707 E CEDAR ST STE 102

    OLATHE, KS 660621886

    Phone: (913) 283-5194

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241206003156IClinical Social WorkerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19147)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234525098View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Mental Health CounselorFL
Clinical Social WorkerFL
Mental Health CounselorFL
Mental Health CounselorMN
Mental Health CounselorNE
Mental Health CounselorAL
Marriage And Family TherapistFL
Mental Health CounselorAL
Mental Health CounselorFL

Reviews

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Frequently asked questions

What NPI should I save for KATHERINE HARRIS (CLINICAL SOCIAL WORK)?
Save NPI 1912658733 if you need a stable reference for KATHERINE HARRIS (CLINICAL SOCIAL WORK).
Does this profile mean KATHERINE HARRIS (CLINICAL SOCIAL WORK) is currently active?
Yes — KATHERINE HARRIS (CLINICAL SOCIAL WORK) appears active in the national provider directory.
Does KATHERINE HARRIS (CLINICAL SOCIAL WORK) list a primary specialty?
If you are matching referrals, note Social Worker for KATHERINE HARRIS (CLINICAL SOCIAL WORK). Clinical services aligned with this taxonomy classification.
Does KATHERINE HARRIS (CLINICAL SOCIAL WORK) practice in Pennsylvania?
You will see Philadelphia, Pennsylvania on file for KATHERINE HARRIS (CLINICAL SOCIAL WORK) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.