KEITH J. HARRIS LCSW
NPI 1508367848
Social Worker - Clinical in Chicago, IL

Active since February 22, 2018
3411 W DIVERSEY AVE OFC 14, CHICAGO, IL 60647(224) 534-0331 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2021, Feb 22, 2018 (2 updates tracked since 2018).

About Keith J. Harris Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH J. HARRIS LCSW (NPI 1508367848) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149018572) and active in the NPI registry since February 2018. He maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1508367848
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEITH J. HARRISCredential: LCSW
Location Address3411 W DIVERSEY AVE OFC 14Chicago, IL 60647-1245
Mailing Address3411 W Diversey Ave Ofc 14Chicago, IL 60647-1245 · (224) 534-0331
Sole ProprietorYes
Enumeration DateFebruary 22, 2018
Last NPPES UpdateJanuary 4, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
NPI 1508367848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149018572
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3411 W DIVERSEY AVE OFC 14, Chicago, IL 60647

Secondary Practice Location 1

Location 14648 N Leclaire AveChicago, IL 60630-3817 · Phone (773) 454-3059

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
3411 W DIVERSEY AVE OFC 14
CHICAGO, IL 60647
Social Worker (Clinical)
3411 W DIVERSEY AVE OFC 14
CHICAGO, IL 60647
Social Worker (Clinical)
3411 W DIVERSEY AVE OFC 14
CHICAGO, IL 60647
Social Worker (Clinical)
3411 W DIVERSEY AVE OFC 14
CHICAGO, IL 60647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Harris's NPI number?

The NPI number for Keith Harris is 1508367848. It was assigned to this individual provider in the NPPES registry on February 22, 2018.

Where is Keith Harris located?

Keith Harris practices at 3411 W Diversey Ave Ofc 14, Chicago, IL 60647. The listed phone number is (224) 534-0331.

What is Keith Harris's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Keith Harris was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.