Stephanie J Sklodowski, LPCMH

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC-000312 Issued in DE

Practice address

750 E Delaware Avenue
Newark High School
Newark, DE 19711-7185

Phone

(302) 369-1606

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: stephanie.sklodowski.1@30520.direct.athenahealth.com

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1962516146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E DELAWARE AVENUE",
            "address_2": "NEWARK HIGH SCHOOL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E DELAWARE AVENUE",
            "address_2": "NEWARK HIGH SCHOOL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117185",
            "telephone_number": "302-369-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLODOWSKI",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LPCMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-000312",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0000312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DON'T HAVE",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5103872",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Newark, DE
• Providers in Newark, DE by specialty
• Mental Health Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.