Colleen M Skelly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P56061 Issued in NY

Practice address

170 Hamilton Ave
Lighthouse International
White Plains, NY 10601

Phone

(914) 683-7542

Fax

(914) 686-5866

NPI assigned

Apr 20, 2007

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

• Ms. Colleen Dillon Dillon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lighthouse International

  • Clinic/Center
  • White Plains, NY
  • NPI 1851346936
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245458900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LAKE ST APT 6K",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10603",
            "telephone_number": "914-831-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 HAMILTON AVE",
            "address_2": "LIGHTHOUSE INTERNATIONAL",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10601",
            "telephone_number": "914-683-7542",
            "fax_number": "914-686-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELLY",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P56061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "DILLON",
            "middle_name": "DILLON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Skye Six-Osher, MS, RD
• Randi Lynn Sjogren, M.D.
• Rebecca Anne Skakal
• Jacqueline C Skeen
• Stacy Ruth Skeete, R.N.
• Debra Skorney, M.S.
• Laura Skriner, PH.D
• Miranda Slaton, OD
• Danielle Slauenwhite
• Sleep Data Holdings, LLC

• Clinical Social Worker in White Plains, NY
• Providers in White Plains, NY by specialty
• Clinical Social Worker in New York

• 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.