Khara Jelynn Harper, LCSW
Social Worker, Clinical in University Park, IL. Individual provider (NPI-1).
NPI number1114688652
StatusActive
Last updated in NPPESJan 6, 2022
Details
- NPI
- 1114688652
- Entity type
- Individual (NPI-1)
- Name
- Ms. Khara Jelynn Harper
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 6, 2022
- Certification date
- Jan 6, 2022
- Last updated
- Jan 6, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.024129 | IL | Yes |
Practice location
455 Pebble Beach CtUniversity Park, IL 60484-2717
Phone 708-743-3839
Mailing address
455 Pebble Beach CtUniversity Park, IL 60484-2717
Phone 708-743-3839
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Other Clinical Social Worker providers in University Park, IL
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