Organization Active NPI

Clear Skies Counseling LCSW PLLC

  • Clinical Social Worker
  • East Amherst, NY
National Provider Identifier
1477394757
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CLEAR SKIES COUNSELING LCSW PLLC
Practice address
6465 Transit Rd Ste 20
East Amherst, NY 14051-1414
Phone
(716) 514-6695
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Tammy L Kling, LCSWNPI 1407028038
Title
Founder/Therapist
Phone
(716) 514-6695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6465 Transit Rd Ste 20
East Amherst, NY 14051-1414

Mailing address

6465 Transit Rd Ste 20
East Amherst, NY 14051-1414
Phone (716) 514-6695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241022004575 NY Part B Supplier - Clinic/Group Practice 8224561717 Receives reassigned benefits from 1 practitioner
Practice locations: East Amherst, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1477394757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 TRANSIT RD STE 20",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511414",
            "telephone_number": "716-514-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 TRANSIT RD STE 20",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511414",
            "telephone_number": "716-514-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SKIES COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "KLING",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FOUNDER/THERAPIST",
        "authorized_official_telephone_number": "716-514-6695",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.