Sally Harrett, MSW CSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801017327 Issued in MI

Practice address

3351 Claystone St SE
Ste 212
Grand Rapids, MI 49546-5781

Phone

(616) 954-1992

Fax

(616) 954-1998

NPI assigned

Oct 12, 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

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

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.

• Asnaa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
  • NPI 1346637758
  Medicare reassignment NPD
• Life Guidance Services

  • Social Worker
  • Grand Rapids, MI
  • NPI 1336185032
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912096660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 CLAYSTONE ST SE",
            "address_2": "STE 212",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465781",
            "telephone_number": "616-954-1992",
            "fax_number": "616-954-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 CLAYSTONE ST SE",
            "address_2": "STE 212",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465781",
            "telephone_number": "616-954-1992",
            "fax_number": "616-954-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRETT",
        "first_name": "SALLY",
        "credential": "MSW CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801017327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sharese Harper, PA-C
• William Harper
• Nicole Harpold, NP
• Abigail Hope Harrell, LLMSW
• Jenny J Harrell, B.A.
• Amber Nichol Harrington
• Carolyn Harrington
• Alicia Ann Harris
• Alyssa Lynn Harris
• Amanda Harris, RN

• Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Social Worker in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.