Provider Demographics
NPI:1528493293
Name:HARRIS, JILL KALISH (MSW)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:KALISH
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SCHOOL LN
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5608
Mailing Address - Country:US
Mailing Address - Phone:914-713-8853
Mailing Address - Fax:
Practice Address - Street 1:12 SCHOOL LN
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5608
Practice Address - Country:US
Practice Address - Phone:914-713-8853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker