Sean Harris, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1029847 Issued in MA

Practice address

1132 Westfield St
West Springfield, MA 01089-3878

Phone

(413) 592-1980

Fax

(413) 439-0096

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MA

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Geriatric Care Consultants LLC

  • Clinical Social Worker
  • Bridgewater, MA
  • NPI 1427818285

  Clinical

  NPD Authorized official
• Maron Dga PC

  • Group Psychotherapy Psychologist
  • Needham, MA
  • NPI 1427146414
  NPD
• Richard a. Gross, M.D., P.C.

  • Internal Medicine Physician
  • Middleboro, MA
  • NPI 1912192030
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1508897802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OLD FARM RD",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023243448",
            "telephone_number": "508-697-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 WESTFIELD ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893878",
            "telephone_number": "413-592-1980",
            "fax_number": "413-439-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SEAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE PTAN FOR WCFC",
            "identifier": "UX9110",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Harrington, MSW, LCSW
• Erin Lillian Harris, MS BCBA LABA
• Indra Harris, LMHC
• Lindsey Keller Harris, DPT
• Lori Ann Harris, LICSW
• Shedrick Harris
• Teka Harris
• Sarah Hart
• Jaydan Harvey
• Dawn Haskins

• All providers in West Springfield, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.