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DEITRA HARRIS LCSW
NPI 1679048623
Social Worker - Clinical in Charlotte, NC

Active since October 05, 2018PECOS EnrolledAccepts Medicare Assignment
7700 ELLA JANE LN APT W, CHARLOTTE, NC 28273(704) 200-7983 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2020, Oct 5, 2018 (2 updates tracked since 2018).

About Deitra Harris Lcsw NPPES

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

DEITRA HARRIS LCSW (NPI 1679048623) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C010735) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1679048623
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEITRA HARRISCredential: LCSW
Location Address7700 ELLA JANE LN APT WCharlotte, NC 28273-4782
Mailing Address7700 Ella Jane Ln Apt WCharlotte, NC 28273-4782 · (704) 200-7983
Phone(704) 200-7983
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 5, 2018
Last NPPES UpdateJanuary 10, 20202 updates tracked since enumeration
✔ NPI 1679048623 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 NC · C010735
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.
7700 ELLA JANE LN APT W, Charlotte, NC 28273
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Other Names 1

Professional Name (2)Deitra Harris Lisw-cp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deitra Harris Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870929870
PECOS Enrollment IDI20250731004807, I20251117000164
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28273 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

EVOLUTION YOU, PLLC
Clinic/Center (Adult Mental Health)
7700 ELLA JANE LN APT W
CHARLOTTE, NC 28273
Mecklenburg County (704) 954-8538

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 Deitra Harris's NPI number?

The NPI number for Deitra Harris is 1679048623. It was assigned to this individual provider in the NPPES registry on October 5, 2018. The provider is also known as Deitra Harris Lisw-Cp.

Where is Deitra Harris located?

Deitra Harris practices at 7700 Ella Jane Ln Apt W, Charlotte, NC 28273. The listed phone number is (704) 200-7983.

What is Deitra Harris's specialty?

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

Is Deitra Harris enrolled in Medicare?

Yes. Deitra Harris is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Deitra Harris accept?

Health plans from Blue Cross and Blue Shield of NC, BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Oscar Health Plan of North Carolina, Inc and Regence BlueCross BlueShield of Utah and 2 other insurers list Deitra Harris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deitra Harris was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.