Bay Ridge LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0823451 Issued in NY

Legal business name

BAY RIDGE LCSW PLLC

Practice address

4056 Amboy Rd
Staten Island, NY 10308-2409

Phone

(718) 808-5708

NPI assigned

Dec 15, 2016

Organization subpart

No

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

Authorized official

Name

Aliza Skaya, LCSWNPI 1972881522

Title

Owner

Phone

(718) 808-5708

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aliza D Skaya, LCSW

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1972881522
  Medicare reassignment Care Compare group NPD Authorized official
• Elena Yeselevskaya, LMHC

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1437555455
  Medicare reassignment Care Compare group NPD
• Marseil Mansi

  • Health & Wellness Coach
  • Staten Island, NY
  • NPI 1093545022

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745020800000",
    "number": "1831633585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80315",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103080315",
            "telephone_number": "718-808-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082409",
            "telephone_number": "718-808-5708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Driggs St",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103083234",
            "country_code": "US",
            "telephone_number": "718-808-5708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY RIDGE LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A",
        "authorized_official_last_name": "SKAYA",
        "authorized_official_first_name": "ALIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-808-5708",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0823451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300130327",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03430320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, 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 Apr 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.