Active NPI
Emma Skreppen
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1659028769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115762
- Practice address
- 630 Flushing Ave Ste 3
Brooklyn, NY 11206-5768 - Phone
- (718) 526-9150
- NPI assigned
- Mar 8, 2022
- Last updated
- Mar 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 115762 | NY | Primary |
Addresses
Primary practice location
630 Flushing Ave Ste 3
Brooklyn, NY 11206-5768
Mailing address
630 Flushing Ave
Suite 3
Brooklyn, NY 11206
Other practice location 1
630 Flushing Ave Unit 3
Brooklyn, NY 11206-5768
Phone (631) 603-7835
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115762 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1659028769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 FLUSHING AVE",
"address_2": "SUITE 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 FLUSHING AVE STE 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065768",
"telephone_number": "718-526-9150"
}
],
"practiceLocations": [
{
"address_1": "630 Flushing Ave Unit 3",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112065768",
"country_code": "US",
"telephone_number": "631-603-7835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKREPPEN",
"first_name": "EMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "115762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.