Individual provider Active NPI

Liat Lea Shklarski, MSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1598035180
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082185-1 Issued in NY
Practice address
1449 Lexington Ave
3
New York, NY 10128-5903
Phone
(917) 522-6602
NPI assigned
Jan 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 082185-1 NY Primary
Specialist 174400000X 082185-1 NY

Addresses

Primary practice location

1449 Lexington Ave
3
New York, NY 10128-5903

Mailing address

1449 Lexington Ave
3
New York, NY 10128-2543
Phone (917) 522-6602

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20141124000687 NY Practitioner - Clinical Social Worker 5698993558 Reassigns benefits to 1 organization
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
082185-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Psychotherapy Services Licensed Clinical Social Work PLLC Clinical CurrentSince May 23, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

247 E 82nd St
Ste 7
New York, NY 10028
Phone (425) 999-6832

247 E 82nd St
New York, NY 10028
Phone (212) 879-6900

247 E 82nd St
Rm 7
New York, NY 10028

247 E 82nd St
#3
New York, NY 10028
Phone (212) 734-3087

Interoperability endpoints

  • Direct secure messaging: liatshklarski@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1598035180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 LEXINGTON AVE",
            "address_2": "3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282543",
            "telephone_number": "917-522-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 LEXINGTON AVE",
            "address_2": "3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285903",
            "telephone_number": "917-522-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHKLARSKI",
        "first_name": "LIAT",
        "middle_name": "LEA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082185-1",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "082185-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.