IndividualActive
Jack Skelton, LCSW, MA
NPI 1407563190 · Clinical Social Worker · Brooklyn, NY
Jack Skelton, LCSW, MA is a Clinical Social Worker provider in Brooklyn, NY (NPI 1407563190).
Provider details
- NPI number
- 1407563190
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, MA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 093795-01 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
289 Empire Blvd Apt 2c
Brooklyn, NY 11225-3539
Phone: (315) 406-5124
Street-level locationGet directions
Mailing address
289 Empire Blvd Apt 2c
Brooklyn, NY 11225-3539
Registry dates
- Enumerated
- 2022-11-01
- Last updated
- 2022-11-01
- Certified
- 2022-11-01
Frequently asked questions
- What is Jack Skelton's NPI number?
- Jack Skelton's National Provider Identifier (NPI) is 1407563190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Skelton's specialty?
- Jack Skelton is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jack Skelton located?
- Jack Skelton's practice location on file with NPPES is 289 Empire Blvd Apt 2c, Brooklyn, NY 11225-3539.
- What is Jack Skelton's phone number?
- The practice phone number listed in the NPPES registry for Jack Skelton is (315) 406-5124.
- Is Jack Skelton's NPI active?
- Yes — Jack Skelton's NPI (1407563190) is active in the NPPES registry as of the last update on 2022-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.