Provider Demographics
NPI:1154593325
Name:HARPER, KERRY ELIZABETH (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:KERRY
Middle Name:ELIZABETH
Last Name:HARPER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 SCHOOLHOUSE RD
Mailing Address - Street 2:STUDENT UNION G-10
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-2912
Mailing Address - Country:US
Mailing Address - Phone:814-269-7124
Mailing Address - Fax:814-269-7179
Practice Address - Street 1:450 SCHOOLHOUSE RD
Practice Address - Street 2:STUDENT UNION G-10
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-2912
Practice Address - Country:US
Practice Address - Phone:814-269-7124
Practice Address - Fax:814-269-7179
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0166931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical