MR. PAUL ANTHONY SKIDMORE (NPI# 1821314964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821314964 |
| Entity Type | Individual |
| Full Name | MR. PAUL ANTHONY SKIDMORE |
| Credential | LMSW |
| Practice Address |
998 Crooked Hill Rd West Brentwood NY 11717-1019 |
| Mailing Address |
246 Cedrus Ave East Northport NY 11731-4515 |
| Practice Telephone | 6317613500 |
| Mailing Telephone | 6313682380 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 071674 | NY | Behavioral Health & Social Service Providers |
| Street Address |
998 CROOKED HILL RD |
| City | WEST BRENTWOOD |
| State | NY |
| Zip Code | 11717-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891721916 | Herminia Hermogenes | Psychiatry & Neurology | 998 Crooked Hill Rd, Bldg. 56, West Brentwood, NY 11717-1043 | 2006-06-23 |
| 1740887124 | Christian Ciaburri | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-10-08 |
| 1437771011 | Noelle Vidaic | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-05-18 |
| 1679194112 | Maryna Krumholz | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-05-06 |
| 1427679695 | Christine Simcich | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-04-29 |
| 1538789086 | Carolyn Herold | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-04-24 |
| 1992325450 | Henry Vonpoleski | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-04-24 |
| 1851925903 | Marvett A Malcolm | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-02-27 |
| 1992346621 | Diane Lopez-mahabir | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2019-10-03 |
| 1770133423 | Ivan Leonidas Giannou | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2019-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931337 | Marie E Klaman | Social Worker | 998 Crooked Hill Rd Bldg 1, West Brentwood, NY 11717-1019 | 2018-08-10 |
| 1821445941 | Allan D Smith Jr. | Social Worker | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2016-05-18 |
| 1558721928 | Norma Noce | Social Worker | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2016-02-29 |
| 1447615745 | Subin Thomas | Social Worker | 998 Crooked Hill Rd Bldg 47, West Brentwood, NY 11717-1019 | 2015-12-31 |
| 1073978490 | Marion Lamdani | Social Worker | 998 Crooked Hill Rd, Building 47, West Brentwood, NY 11717-1019 | 2015-12-30 |
| 1588033179 | Jenette C Adams | Social Worker | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2015-09-24 |
| 1033505862 | Carrie Schoen | Social Worker | 998 Crooked Hill Rd Bldg 56, West Brentwood, NY 11717-1019 | 2015-04-08 |
| 1447579420 | Kate Coppola | Social Worker | 998 Crooked Hill Rd, Western Suffolk Center - Building 56, West Brentwood, NY 11717-1019 | 2010-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1386245215 | Vanessa Salazar | Social Worker | 55 E 115th St Apt 3i, New York, NY 10029-1179 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1699376673 | Kevin James Kleinknecht | Social Worker | 4332 47th St Apt B34, Sunnyside, NY 11104-1755 | 2020-11-05 |
| 1255932372 | Shaquan Robinson | Social Worker | 118 Roeckel Ave, Valley Stream, NY 11580-3504 | 2020-11-04 |
| 1992306252 | Joseph Catalano | Social Worker | 57 Oneida Ave, South Setauket, NY 11720-1130 | 2020-11-03 |
| 1982205282 | Stephanie Lopez | Social Worker | 85 Vista Ter S, Mahopac, NY 10541-3154 | 2020-11-03 |
| 1194326611 | Rebecca Leigh Eckerson | Social Worker | 4 Woodlake Dr, Saratoga Springs, NY 12866-8844 | 2020-11-02 |
| 1760083299 | Alena Nazarova | Social Worker | 7802 Bay Pkwy, Brooklyn, NY 11214-1508 | 2020-11-02 |
| 1306447966 | Juliana Pepaj | Social Worker | 13835 Elder Ave Apt 5g, Flushing, NY 11355-4068 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | WEST BRENTWOOD |
| Zip Code | 11717 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.