Individual provider Active NPI

Sandra J. Harrison, L.C.S.W

  • Clinical Social Worker
  • Lecanto, FL
National Provider Identifier
1477654663
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4337 Issued in FL
Practice address
508 N Lecanto Hwy Ste 532
Lecanto, FL 34461-8547
Phone
(352) 228-4969
Fax
(352) 228-8901
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW4337 FL Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

508 N Lecanto Hwy Ste 532
Lecanto, FL 34461-8547

Mailing address

708 NE 6TH St
Crystal River, FL 34428-3704
Phone (352) 228-4969

Other practice location 1

210 N Highway 27 Ste 4
Clermont, FL 34711-2411
Phone (352) 705-6283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051024000971 FL Practitioner - Clinical Social Worker 0345267845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deborah a Martin IncGroup PAC ID 9234388786, 5 clinicians

Practice addresses (Care Compare)

508 N Lecanto Hwy
Suite 532
Lecanto, FL 34461-8547
Phone (352) 228-4969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1477654663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 NE 6TH ST",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344283704",
            "telephone_number": "352-228-4969",
            "fax_number": "352-228-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N LECANTO HWY STE 532",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618547",
            "telephone_number": "352-228-4969",
            "fax_number": "352-228-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N Highway 27 Ste 4",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347112411",
            "country_code": "US",
            "telephone_number": "352-705-6283",
            "fax_number": "352-363-2496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "SANDRA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4337",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

Verify at the official NPI Registry.