Active NPI
Barry Howard Skoletsky, LCSW
- Clinical Social Worker
- Hartford, CT
National Provider Identifier
1477618627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3349
- Practice address
- 500 Vine St
Capitol Region Mental Health Center
Hartford, CT 06112-1639 - Phone
- (860) 297-0905
- Fax
- (860) 297-0914
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3349 | CT | Primary |
Addresses
Primary practice location
500 Vine St
Capitol Region Mental Health Center
Hartford, CT 06112-1639
Mailing address
500 Vine Street
Human Resources
Hartford, CT 06112
Phone (860) 297-0905
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005349 | CT | MD | Clinical Social Worker |
| 3349 | CT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1477618627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 VINE STREET",
"address_2": "HUMAN RESOURCES",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06112",
"telephone_number": "860-297-0905",
"fax_number": "860-297-0914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 VINE ST",
"address_2": "CAPITOL REGION MENTAL HEALTH CENTER",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061121639",
"telephone_number": "860-297-0905",
"fax_number": "860-297-0914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOLETSKY",
"first_name": "BARRY",
"middle_name": "HOWARD",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "3349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.