Sidney Skerlak, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019415 Issued in NC

Practice address

7905 Village Ctr N
Sherrills Ford, NC 28673-9414

Phone

(704) 907-0207

NPI assigned

Nov 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Moore Consulting Holdings, LLC

  dba Progress Counseling Group

  • Multi-Specialty Clinic/Center
  • Winter Garden, FL
  • NPI 1285255638

  Clinical, NC

  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1588439632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 VILLAGE CTR N",
            "city": "SHERRILLS FORD",
            "state": "NC",
            "postal_code": "286739414",
            "telephone_number": "704-907-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 VILLAGE CTR N",
            "city": "SHERRILLS FORD",
            "state": "NC",
            "postal_code": "286739414",
            "telephone_number": "704-907-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKERLAK",
        "first_name": "SIDNEY",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scobroberts
• Bryant Scott
• Cessily Shannonhouse
• Lindsay Pico Shipplett, AGACNP-BC
• Siloam Homes
• Catherine P Steinmetz
• Superior Lymphedema Therapy PLLC
• Paul G. Taylor, R.PH., CFTS
• Jennifer Terry
• Hannah Tiwaah

• Clinical Social Worker in Sherrills Ford, NC
• Providers in Sherrills Ford, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.