MS. PENNY WILBUR-HARRIS LCSW NPI 1619077153

NPI Information

NPI: 1619077153
Provider Name: MS. PENNY WILBUR-HARRIS, LCSW
Classification: Social Worker - 1041S0200X
Entity Type: Individual

Specialization: School

Address:
15 BROOKFIELD LN
SOUTH SETAUKET, NY
ZIP 11720
Phone: (631) 553-8469
Get Directions

MS. Penny Wilbur-harris, LCSW is a school social worker in South Setauket, NY. MS. Penny Wilbur-harris, LCSW NPI is 1619077153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15 BROOKFIELD LN
SOUTH SETAUKET, NY
ZIP 11720-444
Phone: (631) 553-8469

The enumeration date for this NPI number is 9/24/2006 and was last updated on 7/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041S0200X	Social Worker	School		NEW YORK	Yes
2	1041C0700X	Social Worker	Clinical	R027333	NEW YORK	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	145126	OTHER	NEW YORK	VALUE OPTIONS
2	P75660	OTHER	CONNECTICUT	OXFORD
3	IP322152	OTHER	NEW YORK	EMPIRE BC/BS
4	11238224	OTHER	MISSOURI	CAQH
5	4281184	OTHER	TEXAS	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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