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JACK LANEY SKELTON LCSW, MA
NPI 1407563190
Social Worker - Clinical in Brooklyn, NY

Active since November 01, 2022
289 EMPIRE BLVD APT 2C, BROOKLYN, NY 11225(315) 406-5124 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Laney Skelton Lcsw, Ma NPPES

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

JACK LANEY SKELTON LCSW, MA (NPI 1407563190) is an individual clinical provider in Brooklyn, New York, licensed in New York (093795-01) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1407563190
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACK LANEY SKELTONCredential: LCSW, MA
Location Address289 EMPIRE BLVD APT 2CBrooklyn, NY 11225-3539
Mailing Address289 Empire Blvd Apt 2cBrooklyn, NY 11225-3539 · (315) 406-5124
Phone(315) 406-5124
Sole ProprietorYes
Enumeration DateNovember 1, 2022
NPPES CertifiedNovember 1, 2022
✔ NPI 1407563190 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 NY · 093795-01
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.
289 EMPIRE BLVD APT 2C, Brooklyn, NY 11225
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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 Jack Skelton's NPI number?

The NPI number for Jack Skelton is 1407563190. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Where is Jack Skelton located?

Jack Skelton practices at 289 Empire Blvd Apt 2C, Brooklyn, NY 11225. The listed phone number is (315) 406-5124.

What is Jack Skelton's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Skelton was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.