Active NPI
David Aaron Sklar
- Clinical Social Worker
- Oak Park, MI
National Provider Identifier
1487740544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801020779
- Practice address
- 14731 Manhattan PL
7035 Orchard Lake Road Suite 550
Oak Park, MI 48237-1017 - Phone
- (248) 808-0283
- Fax
- (248) 808-0283
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 6801020779 | MI | Primary |
Addresses
Primary practice location
14731 Manhattan PL
7035 Orchard Lake Road Suite 550
Oak Park, MI 48237-1017
Mailing address
14731 Manhattan PL
Oak Park, MI 48237-1017
Phone (248) 968-3412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801020779 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1487740544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14731 MANHATTAN PL",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371017",
"telephone_number": "248-968-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14731 MANHATTAN PL",
"address_2": "7035 ORCHARD LAKE ROAD SUITE 550",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371017",
"telephone_number": "248-808-0283",
"fax_number": "248-808-0283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKLAR",
"first_name": "DAVID",
"middle_name": "AARON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801020779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.