Organization Active NPI

Vivian Sklar Licensed Clinical Social Worker PC

  • Clinical Social Worker
  • Mount Kisco, NY
National Provider Identifier
1518366806
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VIVIAN SKLAR LICENSED CLINICAL SOCIAL WORKER PC
Practice address
153 Main Street
Suite H
Mount Kisco, NY 10549-2317
Phone
(914) 244-3141
Fax
(914) 244-4124
NPI assigned
Aug 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Vivian A Sklar, LCSWNPI 1043299670
Title
President
Phone
(914) 244-3141

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

153 Main Street
Suite H
Mount Kisco, NY 10549-2317

Mailing address

153 Main Street
Suite H
Mount Kisco, NY 10549-2317
Phone (914) 244-3141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150430000488 NY Part B Supplier - Clinic/Group Practice 3476872136 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Kisco, NY

National Provider Directory

National Provider Directory

Locations

545 Saw Mill River Rd
Ardsley, NY 10502
Phone (845) 490-4034

Practitioners & affiliated clinicians

Practitioners 1

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": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1518366806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MAIN STREET",
            "address_2": "SUITE H",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492317",
            "telephone_number": "914-244-3141",
            "fax_number": "914-244-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MAIN STREET",
            "address_2": "SUITE H",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492317",
            "telephone_number": "914-244-3141",
            "fax_number": "914-244-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN SKLAR LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "SKLAR",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-244-3141",
        "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 Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.