Sue E Harris, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0518831 Issued in NY

Practice address

530 Cedar St
Onondaga County Outpatient Services
Syracuse, NY 13210-2302

Phone

(315) 447-7707

Fax

(315) 435-7710

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sue E Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Harmony Healing

  • Mental Health Counselor
  • Syracuse, NY
  • NPI 1497810246
  NPD (past)
• Onondaga County Department of Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Syracuse, NY
  • NPI 1477626158
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1265593792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CEDAR ST",
            "address_2": "ONONDAGA COUNTY OUTPATIENT SERVICES",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102302",
            "telephone_number": "315-447-7707",
            "fax_number": "315-435-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CEDAR ST",
            "address_2": "ONONDAGA COUNTY OUTPATIENT SERVICES",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102302",
            "telephone_number": "315-447-7707",
            "fax_number": "315-435-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SUE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0518831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "JACKSON",
            "middle_name": "E",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marcia T. Harris, NP
• Molly W. Harris, MS, OTR/L
• Natasha Harris, RN
• Samantha Harris
• Serena Harris, RN
• Susan Harris
• Harrison Center Chiropractic PLLC
• Colleen Joy Harrison, RN
• Jonathan Harrison, MD
• Joshua Walter Harrison, M.D.

• Clinical Social Worker in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.