Jennifer L Anderson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

650 Ridge Rd
Lackawanna, NY 14218-1435

Phone

(716) 828-9700

Fax

(716) 828-9745

NPI assigned

Jun 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jennifer L Skladanowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baker Hall

  dba OLV Human Services

  • Developmentally Disabled Services Day Training Agency
  • Lackawanna, NY
  • NPI 1669695391
  NPD (past)
• Baker Hall Inc

  dba Baker Victory Services

  • Community/Behavioral Health Agency
  • Lackawanna, NY
  • NPI 1245352921
  NPD (past)

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1841428190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181435",
            "telephone_number": "716-828-9700",
            "fax_number": "716-828-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181435",
            "telephone_number": "716-828-9700",
            "fax_number": "716-828-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SKLADANOWSKI",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Ann Albrechcinski, M.ED.
• Michele Elizabeth Allen, MSED.
• Crystal Alley, MSED
• Carla J Alomar
• Meghan Anderer, OTR/L
• Brandi Arcara
• April Arman, LMSW
• Marium Ashraf
• Lea Nicole Askew, LMSW
• Shavonne Lee Auguste

• Clinical Social Worker in Lackawanna, NY
• Providers in Lackawanna, 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 Oct 10, 2011; 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.