Sally Geraldine Goren, MA LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

215 Pin Oak Dr
Wilmette, IL 60091-3128

Phone

(847) 251-3221

Fax

(847) 251-3491

NPI assigned

Aug 4, 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

• Sally Geraldine Fox Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740298645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PIN OAK DR",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913128",
            "telephone_number": "847-251-3221",
            "fax_number": "847-251-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PIN OAK DR",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913128",
            "telephone_number": "847-251-3221",
            "fax_number": "847-251-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOREN",
        "first_name": "SALLY",
        "middle_name": "GERALDINE",
        "name_prefix": "Ms.",
        "credential": "MA LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "FOX",
            "middle_name": "GERALDINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caroline Gonzalez
• Diane Gruner Goodwin, PSY.D.
• Pamela J. Goodwin, M.D.
• Beth Berkowitz Gordon, MS, CCC-SLP
• Lauren A Gordon
• Gloria Graff, LCSW
• Elizabeth Marie Graham, D.D.S., M.S.
• Lauren Anne Gralton, OT
• Grit Physical Therapy
• Guardian Home MD Corp.

• Clinical Social Worker in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Clinical Social Worker in Illinois

• 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.