Individual provider Active NPI

David Aaron Sklar

  • Clinical Social Worker
  • Oak Park, MI
National Provider Identifier
1487740544
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801020779 Issued in MI
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

Updated by the provider on Dec 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801020779MIMDClinical 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

Verify at the official NPI Registry.