Individual provider Active NPI

Aimee Michelle Sklenicka

  • Clinical Social Worker
  • Enterprise, AL
National Provider Identifier
1306500475
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4914C Issued in AL
Practice address
2861 Neil Metcalf Rd
Enterprise, AL 36330-8003
Phone
(334) 347-0212
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 4914C AL Primary

Addresses

Primary practice location

2861 Neil Metcalf Rd
Enterprise, AL 36330-8003

Mailing address

44 Madison Ave
Enterprise, AL 36330-3447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220323001090 AL Practitioner - Clinical Social Worker 8426443771 Reassigns benefits to 1 organization
I20240131005146 AK Practitioner - Clinical Social Worker 8426443771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Health LLCGroup PAC ID 1850629882, 3 clinicians

Practice addresses (Care Compare)

2201 Dunn St
Suite 1
Juneau, AK 99801-9480
Phone (907) 523-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Alabama Mental Health Board Inc CurrentSince Jan 27, 2022 Accepting new patients
Harbor Health, LLC CurrentSince Nov 21, 2023 Accepting new patients

Locations

2201 Dunn St
Ste 1
Juneau, AK 99801
Phone (907) 523-8888

19815 Bay Branch Rd
Andalusia, AL 36420
Phone (334) 222-2523

820 S Three Notch St
Ste B
Andalusia, AL 36420
Phone (334) 222-2485

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1306500475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MADISON AVE",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363303447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 NEIL METCALF RD",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363308003",
            "telephone_number": "334-347-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLENICKA",
        "first_name": "AIMEE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4914C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.