Brandan Skinnieri, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

107057-01 Issued in NY

Practice address

830 Washington St
Watertown, NY 13601-4099

Phone

(315) 779-5060

NPI assigned

Nov 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brandan Skinner Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritan Medical CenterGroup PAC ID 8123914876, 157 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Samaritan Medical Center

  • General Acute Care Hospital
  • Watertown, NY
  • NPI 1598713745
  Medicare reassignment Care Compare group
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NY

  Medicare reassignment
• Samaritan Medical Center

  • Psychiatric Hospital Unit
  • Watertown, NY
  • NPI 1801902713
  NPD

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1346843075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 CADWELL ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014017",
            "telephone_number": "315-806-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014099",
            "telephone_number": "315-779-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNIERI",
        "first_name": "BRANDAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107057-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.samaritanhealth.com",
            "affiliation": "Y",
            "affiliationName": "SAMARITAN MEDICAL CENTER",
            "address_1": "830 Washington St",
            "city": "Watertown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136014034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDAN",
            "last_name": "SKINNER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shawn Michael Signor, PHARMD
• Larry V Silverstein, DC
• Khalid P Sindhu, MD
• Thiru Singam, MD
• Barbara Sinsheimer, MA ATC LAT
• Sheila Skurpski, DO
• Denis P Slattery Jr., P.T.A.
• David Slawaska-Eng, MD
• Jarmila Slezkova, M.D.
• Kimberly Anne Sloan, PMHNP

• Social Worker in Watertown, NY
• Providers in Watertown, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.