Michael Anthony Martin de PO Harrigan, SOCIAL WORKER

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075280-1 Issued in NY

Practice address

4115 Monticello Ave
Bronx, NY 10466-2109

Phone

(917) 763-3320

NPI assigned

Mar 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346364338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 MONTICELLO AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 MONTICELLO AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662109",
            "telephone_number": "917-763-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIGAN",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY MARTIN DE PO",
        "name_prefix": "Mr.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075280-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOC WORKER",
            "identifier": "075280-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Harper
• Priscilla Harper
• Samaria Harper
• Tomasina Harper, M.S.OTR L
• Alylisa Harrell
• Nashley M Harrigan, M.D.
• Sheniqua Harrigan
• Melissa Harrilal
• Devita Harrinarain, MSED
• Alexis Harrington

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, 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 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.

Verify at the official NPI Registry.