Rebecca Ann Skoda, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070434 Issued in NY

Practice address

20 Crystal St.
Monticello, NY 12701

Phone

(845) 790-0911

Fax

(845) 791-7304

NPI assigned

Aug 14, 2009

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1801028402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CRYSTAL ST.",
            "address_2": "MMHT",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "12701",
            "telephone_number": "845-790-0911",
            "fax_number": "845-791-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CRYSTAL ST.",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "12701",
            "telephone_number": "845-790-0911",
            "fax_number": "845-791-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKODA",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoprite Supermarkets, Inc (Shoprite Pharmacy of Monticello)
• Ashley Shore, LPN
• Inderbir Singh, DDS
• Barbara Ann Sipper, C.P.T.A.
• Katie Lee Skinner
• Jeffrey D Smith, LCSW-R
• Jennifer Smith, COTA/L
• Kyle Smith
• Sarah D Smith, PSY.D.
• Karen Osborne Smyth, MS, OTR/L

• Clinical Social Worker in Monticello, NY
• Providers in Monticello, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.