Individual provider Active NPI

Sally Fram, LCSW

  • Clinical Social Worker
  • Summit, NJ
National Provider Identifier
1821168527
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04601200 Issued in NJ
Practice address
467 Springfield Ave Ste 205-206
Summit, NJ 07901-2622
Phone
(908) 926-2174
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC04601200 NJ Primary

Addresses

Primary practice location

467 Springfield Ave Ste 205-206
Summit, NJ 07901-2622

Mailing address

467 Springfield Ave Ste 205-206
Summit, NJ 07901-2622
Phone (908) 926-2174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821168527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 SPRINGFIELD AVE STE 205-206",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012622",
            "telephone_number": "908-926-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 SPRINGFIELD AVE STE 205-206",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012622",
            "telephone_number": "908-926-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAM",
        "first_name": "SALLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04601200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • 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.