Individual provider Active NPI

Sharee Skalsky, LCSW

  • Clinical Social Worker
  • Brewster, NY
National Provider Identifier
1568778561
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080096 Issued in NY
Practice address
67 Cooledge Dr
Brewster, NY 10509-2923
Phone
(917) 406-8411
NPI assigned
Aug 27, 2010
Last updated
Apr 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 080096 NY Primary
Clinical Social Worker 1041C0700X 137076 IA
Clinical Social Worker 1041C0700X 16645 CT

Addresses

Primary practice location

67 Cooledge Dr
Brewster, NY 10509-2923

Mailing address

67 Cooledge Dr
Brewster, NY 10509-2923
Phone (917) 406-8411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IA, CT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190115002138 NY Practitioner - Clinical Social Worker 0547494403 Reassigns benefits to 1 organization
Practice locations: White Plains, NY
I20260330002699 IA Practitioner - Clinical Social Worker 0547494403 Reassigns benefits to 2 organizations
I20260414004010 CT Practitioner - Clinical Social Worker 0547494403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16645CTMDClinical Social Worker
137076IAMDClinical Social Worker

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776556800000",
    "number": "1568778561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 COOLEDGE DR",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092923",
            "telephone_number": "917-406-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 COOLEDGE DR",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092923",
            "telephone_number": "917-406-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALSKY",
        "first_name": "SHAREE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080096",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "137076",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "16645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

Verify at the official NPI Registry.