Active NPI
Sally Golboro Harrison, MSS
- Clinical Social Worker
- Franklin Lakes, NJ
National Provider Identifier
1043386667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- NJSC04771
- Practice address
- 574 Franklin Ave
Franklin Lakes, NJ 07417 - Phone
- (201) 891-7878
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NJSC04771 | NJ | Primary |
Addresses
Primary practice location
574 Franklin Ave
Franklin Lakes, NJ 07417
Mailing address
632 Fairview Place
Wyckoff, NJ 07481
Phone (201) 891-7878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJSC04771 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Guild Behavioral Health | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043386667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 FAIRVIEW PLACE",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "07481",
"telephone_number": "201-891-7878",
"fax_number": "201-891-7027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "574 FRANKLIN AVE",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "07417",
"telephone_number": "201-891-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "SALLY",
"middle_name": "GOLBORO",
"name_prefix": "Mrs.",
"credential": "MSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "NJSC04771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin Lakes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.