Beverly Dawn Harris, MSW, PLCSW
NPI 1295896405ActiveIndividual· Social Worker, Clinical· Republic, MO
Social Worker, Clinical (MSW, PLCSW) in Republic, Missouri, licensed in MO, with an NPI issued in December 2006. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1295896405 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, PLCSW |
| Sole proprietor | Yes |
| NPI issued | Dec 12, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 2006022591 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MO) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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