Active NPIIndividual provider

Bryan E Harter, MBA, LICSW

Social Worker, Clinical in Wakefield, Massachusetts

NPI Number1679054803
Practice location
15 Dexter Ln, Wakefield, MA 01880-2031
Fax
—
Last updated
August 9, 2022

Bryan Edward Mcmullen Harter is a Social Worker, Clinical based in Wakefield, MA. Bryan Edward Mcmullen Harter practices in Wakefield, MA and has the professional credentials of MBA, LICSW. The NPI Number for Bryan Edward Mcmullen Harter is 1679054803 and holds a License No. 114662 (MA). The current practice location address for Bryan Edward Mcmullen Harter is 15 Dexter Ln, Wakefield, MA 01880-2031 and can be reached out via phone at 617-817-3433.

Provider Profile Details

NPI Number
1679054803
Provider Name
Bryan Edward Mcmullen Harter
Credential
MBA, LICSW
Provider Entity Type
Individual
Gender
Male
Address
15 Dexter Ln, Wakefield, MA 01880-2031
Phone Number
617-817-3433
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 26, 2018
Last Update Date
August 9, 2022
Certification Date
August 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Dexter Ln
Wakefield, MA 01880-2031
Zip
01880-2031
Phone Number
617-817-3433
Wakefield, MA 01880Get directions →

Provider Business Mailing Address Details

Address
15 Dexter Ln
Wakefield, MA 01880-2031
City
Wakefield
State
MA
Zip
01880-2031
Phone Number
617-817-3433

License Information

License Number
114662
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bryan E Harter, MBA, LICSW?

The NPI number of Bryan E Harter, MBA, LICSW is 1679054803. It was assigned on August 26, 2018 and is currently active in the NPPES registry.

What is the specialty of Bryan E Harter, MBA, LICSW?

Bryan E Harter, MBA, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114662.

Where does Bryan E Harter, MBA, LICSW practice?

The practice location is 15 Dexter Ln, Wakefield, MA 01880-2031. The office can be reached at 617-817-3433 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679054803 directly on the NPPES registry website.

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