Individual provider Active NPI

Sari Beth Skolnik, LCSW, PHD

  • Clinical Social Worker
  • Roslyn Heights, NY
National Provider Identifier
1619512449
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
050635 Issued in NY
Practice address
200 S Service Rd
Roslyn Heights, NY 11577-2126
Phone
(516) 698-3721
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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 050635 NY Primary

Addresses

Primary practice location

200 S Service Rd
Roslyn Heights, NY 11577-2126

Mailing address

45 Amherst Rd
Port Washington, NY 11050-4101
Phone (516) 698-3721

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sarcent2@optonline.net Direct
CONNECT URL sarcent2@optonline.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
050635NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1619512449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 AMHERST RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504101",
            "telephone_number": "516-698-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S SERVICE RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772126",
            "telephone_number": "516-698-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOLNIK",
        "first_name": "SARI",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "050635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarcent2@optonline.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 S Service Rd",
            "city": "Roslyn Heights",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115772126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sarcent2@optonline.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "200 S Service Rd",
            "city": "Roslyn Heights",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115772126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.