MS. SARA ELIZABETH SKONIECZNY LICSW
NPI 1407164908
Social Worker - Clinical in Wellesley, MA

Active since September 17, 2010Opted out of Medicare · through Apr 10, 2028
25 WALNUT ST STE 300, WELLESLEY, MA 02481(617) 286-5002 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2025, Dec 5, 2025, Jan 8, 2018 and 1 more (4 updates tracked since 2017).

About Ms. Sara Elizabeth Skonieczny Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SARA ELIZABETH SKONIECZNY LICSW (NPI 1407164908) is an individual clinical provider in Wellesley, Massachusetts, licensed in Massachusetts (118093) and active in the NPI registry since September 2010. She has opted out of Medicare through April 10, 2028.

NPPES Registry Identity

NPI1407164908
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SARA ELIZABETH SKONIECZNYCredential: LICSW
Location Address25 WALNUT ST STE 300Wellesley, MA 02481-2145
Mailing Address25 Walnut St Ste 300Wellesley Hills, MA 02481-2145 · (508) 331-0577
Sole ProprietorNo
Enumeration DateSeptember 17, 2010
Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1407164908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 118093
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
25 WALNUT ST STE 300, Wellesley, MA 02481

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Sara Elizabeth Skonieczny Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 10, 2024 through April 10, 2028.

Opt-Out Effective DateApril 10, 2024
Opt-Out In Effect ThroughApril 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
25 WALNUT ST STE 300
WELLESLEY, MA 02481
Social Worker (Clinical)
25 WALNUT ST STE 300
WELLESLEY, MA 02481
Dietitian, Registered
25 WALNUT ST STE 300
WELLESLEY, MA 02481
Dietitian, Registered
25 WALNUT ST STE 300
WELLESLEY, MA 02481
Counselor (Mental Health)
25 WALNUT ST STE 300
WELLESLEY, MA 02481
Counselor (Mental Health)
25 WALNUT ST STE 300
WELLESLEY, MA 02481
Psychiatry & Neurology (Psychiatry)
25 WALNUT ST STE 300
WELLESLEY, MA 02481
Psychologist (Clinical)
25 WALNUT ST STE 300
WELLESLEY, MA 02481

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Skonieczny's NPI number?

The NPI number for Sara Skonieczny is 1407164908. It was assigned to this individual provider in the NPPES registry on September 17, 2010.

Where is Sara Skonieczny located?

Sara Skonieczny practices at 25 Walnut St Ste 300, Wellesley, MA 02481. The listed phone number is (617) 286-5002.

What is Sara Skonieczny's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sara Skonieczny enrolled in Medicare?

No. Sara Skonieczny has opted out of Medicare through April 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sara Skonieczny was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.