Individual provider Active NPI

Sally Jean Griswold, LCSW

  • Clinical Social Worker
  • Auburn, NY
National Provider Identifier
1275639726
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070548-1 Issued in NY
Practice address
7 S Lewis St
Auburn, NY 13021-2707
Phone
(315) 412-3625
Fax
(315) 252-3074
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 070548-1 NY Primary

Addresses

Primary practice location

7 S Lewis St
Auburn, NY 13021-2707

Mailing address

7 S Lewis St
Auburn, NY 13021-2707
Phone (315) 412-3625

Other practice location 1

121 North St
Auburn, NY 13021-1826
Phone (315) 252-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000661 NY Practitioner - Clinical Social Worker 7012938301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sally Griswold LCSW PLLCGroup PAC ID 0244554889, 4 clinicians

Practice addresses (Care Compare)

121 N St
Auburn, NY 13021-1826
Phone (315) 412-3625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070548-1NYMDClinical Social Worker
070548NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sally Griswold LCSW PLLC CurrentSince Jul 8, 2014 Accepting new patients

Locations

121 North St
Auburn, NY 13021
Phone (315) 252-3074

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1275639726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 S LEWIS ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212707",
            "telephone_number": "315-412-3625",
            "fax_number": "315-252-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S LEWIS ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212707",
            "telephone_number": "315-412-3625",
            "fax_number": "315-252-3074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 North St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211826",
            "country_code": "US",
            "telephone_number": "315-252-2727",
            "fax_number": "315-252-3074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISWOLD",
        "first_name": "SALLY",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070548-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.