Individual provider Active NPI

Amelia Skolnick, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1891199626
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086126-1 Issued in NY
Practice address
25 W 26TH St # 406
New York, NY 10010-1004
Phone
(914) 588-0028
NPI assigned
Oct 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 086126-1 NY Primary

Addresses

Primary practice location

25 W 26TH St # 406
New York, NY 10010-1004

Mailing address

25 W 26TH St # 406
New York, NY 10010-1004

Other practice location 1

115 W 27th St
Training Institute for Mental Health 4 Floor
New York, NY 10001-6217
Phone (212) 627-8181 ext. 380

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

LicenseStateTypeSpecialty
086126-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891199626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W 26TH ST # 406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W 26TH ST # 406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101004",
            "telephone_number": "914-588-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 W 27th St",
            "address_2": "Training Institute for Mental Health 4 Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016217",
            "country_code": "US",
            "telephone_number": "212-627-8181 x380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOLNICK",
        "first_name": "AMELIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086126-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.