Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Harry

Individual provider Clinical Social Worker · NPI 1790111359

Jessica Harry is a Clinical Social Worker in Coram, New York. Qualified in 2011, 15 years ago. Practices with Welllife Network Inc, a 17-clinician group.

Years since qualifying
15
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

3600 Route 112
Coram, NY 11727-4116
Phone: (631) 338-8171
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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 091748-01
Social Worker Taxonomy 104100000X

Record details

NPI number1790111359
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 16, 2013
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address3600 Ny-112, Coram, NY 11727

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Welllife Network Inc — 17 clinicians
Accepts Medicare assignment Not indicated

Other providers in Coram