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

Mrs. Crystal Marie Harris, LCSW

Individual provider Clinical Social Worker · NPI 1083267165

Mrs. Crystal Marie Harris, LCSW is a Clinical Social Worker in Fort Bragg, California. Qualified in 2006, 20 years ago. Practices with Mendocino Coast Clinics, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
20
Licensed in
CA, CO
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

30750 Simpson Ln
Fort Bragg, CA 95437-7761
Phone: (970) 903-1761
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 101995 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence .09924293 (CO)

Record details

NPI number1083267165
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 18, 2019
Last updated in NPPESMay 31, 2023
Certification dateMay 30, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Mendocino Coast Clinics, Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Bragg