Individual provider Active NPI

Dolly Skricka, LCSW

  • Clinical Social Worker
  • Andover, CT
National Provider Identifier
1487476982
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16826 Issued in CT
Practice address
169 Wheeling Rd
Andover, CT 06232-1115
Phone
(860) 746-2416
Fax
(860) 781-9321
NPI assigned
Oct 28, 2024
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9055 CT
Clinical Social Worker 1041C0700X 16826 CT Primary
Clinical Social Worker 1041C0700X 119527 TX
Clinical Social Worker 1041C0700X SW26150 FL

Addresses

Primary practice location

169 Wheeling Rd
Andover, CT 06232-1115

Mailing address

8 Wright St Ste 107
Westport, CT 06880-3114
Phone (860) 746-2416

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9055CTMDSocial Worker
16826CTMDClinical Social Worker
SW26150FLMDClinical Social Worker
119527TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Clinical PLLC Current Accepting new patients

Locations

8 Wright St
Ste 107
Westport, CT 06880
Phone (203) 895-2355

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1487476982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WRIGHT ST STE 107",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803114",
            "telephone_number": "860-746-2416",
            "fax_number": "860-781-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 WHEELING RD",
            "city": "ANDOVER",
            "state": "CT",
            "postal_code": "062321115",
            "telephone_number": "860-746-2416",
            "fax_number": "860-781-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRICKA",
        "first_name": "DOLLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "9055",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "16826",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "119527",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW26150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.