Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Harris, LISW-S

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1841684388

Angela Harris, LISW-S is a Clinical Social Worker in Port Clinton, Ohio. Qualified in 2017, 9 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

1854 E Perry St Ste 900
Port Clinton, OH 43452-1586
Phone: (419) 359-5110
Fax: (419) 359-5114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2002334-SUPV (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 100779 (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence I.2002334 (OH)

Record details

NPI number1841684388
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedMarch 23, 2015
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Port Clinton