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BAY RIDGE LCSW PLLC
NPI 1831633585
Social Worker - Clinical in Staten Island, NY

Active since December 15, 2016
4056 AMBOY RD, STATEN ISLAND, NY 10308(718) 808-5708 Get Directions Write a Review

NPPES record last updated: April 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bay Ridge Lcsw Pllc NPPES

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

BAY RIDGE LCSW PLLC (NPI 1831633585) is a healthcare organization registered as a clinical in Staten Island, New York and active in the NPI registry since December 2016. The organization maintains a secondary practice location in Staten Island and lists Aliza Skaya, Owner, as its authorized official.

NPPES Registry Identity

NPI1831633585
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBAY RIDGE LCSW PLLC
Location Address4056 AMBOY RDStaten Island, NY 10308-2409
Mailing AddressPo Box 80315Staten Island, NY 10308-0315 · (718) 808-5708
Phone(718) 808-5708
Organization SubpartNo
Authorized OfficialAliza SkayaOwner · (718) 808-5708
Enumeration DateDecember 15, 2016
Last NPPES UpdateApril 19, 2025
NPPES CertifiedApril 19, 2025
✔ NPI 1831633585 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 · 0823451
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.
4056 AMBOY RD, Staten Island, NY 10308
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Secondary Practice Location 1

Location 116 Driggs StStaten Island, NY 10308-3234 · Phone (718) 808-5708

Other Identifiers 2

OtherA300130327NY · Medicare Ptan
Medicaid03430320NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bay Ridge Lcsw Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bay Ridge Lcsw PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Elena Yeselevskaya, LMHC
Mental Health Counselor
NPI 1437555455
16 DRIGGS ST STE 3
Staten Island, NY 10308
(718) 808-5708
✔ PECOS✔ Accepts Medicare0.5 mi
Aliza Skaya, LCSW
Clinical Social Worker
NPI 1972881522
PO BOX 80315
Staten Island, NY 10308
(212) 263-7419
✔ PECOS✔ Accepts Medicare6.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bay Ridge Lcsw PLLC's NPI number?

The NPI number for Bay Ridge Lcsw PLLC is 1831633585. It was assigned to this organization in the NPPES registry on December 15, 2016.

Where is Bay Ridge Lcsw PLLC located?

Bay Ridge Lcsw PLLC is located at 4056 Amboy Rd, Staten Island, NY 10308. The listed phone number is (718) 808-5708.

What is Bay Ridge Lcsw PLLC's specialty?

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

Is Bay Ridge Lcsw PLLC enrolled in Medicare?

Yes. Bay Ridge Lcsw PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bay Ridge Lcsw PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bay Ridge Lcsw PLLC, in Clinical Social Worker and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bay Ridge Lcsw PLLC was last updated on April 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.