Susanna Lee Harris, is a
Social Worker - Clinical based in Ironwood, Michigan. Susanna Lee Harris is licensed to practice in Michigan (license number 6801098833) and her current practice location is
220 Roosevelt St, Ironwood, Michigan. She can be reached at her office (for appointments etc.) via phone at
(906) 364-7506.
NPI number for Susanna Lee Harris is 1295107704 and her current mailing address is 220 Roosevelt St, Ironwood, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295107704.
Healthcare Provider's Profile
| Full Name | Susanna Lee Harris |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 220 Roosevelt St, Ironwood, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295107704
- Provider Enumeration Date: 10/22/2015
- Last Update Date: 08/05/2020
Medical Identifiers
Medical identifiers for Susanna Lee Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295107704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16301-132 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C-03447 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 122960-121 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801098833 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susanna Lee Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susanna Lee Harris,
220 Roosevelt St,
Ironwood, MI 49938-1737
Ph: (906) 364-7506 | Susanna Lee Harris,
220 Roosevelt St,
Ironwood, MI 49938
Ph: (906) 364-7506 |
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