Individual provider Active NPI

Brittney Ann Marie Skotniski, LMSW

  • Social Worker
  • Evans Mills, NY
National Provider Identifier
1205559457
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
117614-01 Issued in NY
Practice address
24180 County Route 16
Evans Mills, NY 13637-3127
Phone
(315) 629-4441
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 117614-01 NY Primary

Addresses

Primary practice location

24180 County Route 16
Evans Mills, NY 13637-3127

Mailing address

595 W Main St
Watertown, NY 13601-1381
Phone (315) 629-4441

Other names 1

  • Brittney Ann Marie Irvin Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117614-01NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1205559457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W MAIN ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011381",
            "telephone_number": "315-629-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24180 COUNTY ROUTE 16",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373127",
            "telephone_number": "315-629-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOTNISKI",
        "first_name": "BRITTNEY",
        "middle_name": "ANN MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "117614-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTNEY",
            "last_name": "IRVIN",
            "middle_name": "ANN MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evans Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.