Scarlett Aeckerle, LMSW
Individual provider Active NPI Social Worker · Brockport, NY
NPI 1083115307 · NPPES record last updated Feb 22, 2018
Key facts
- NPI
- 1083115307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 042538 (NY)
- Practice address
- 6668 4TH Section Rd
Brockport, NY 14420-2448 - Phone
- (585) 637-2670
- NPI assigned
- Feb 22, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042538 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 042538 | NY | Yes |
Addresses
Primary practice location
6668 4TH Section Rd
Brockport, NY 14420-2448
Mailing address
6668 4TH Section Rd
Brockport, NY 14420-2448
Phone (585) 637-2670
Other names
- Scarlett Benjamin
Other providers in Brockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.