Organization Active NPI

Kelli Skaggs LCSW LLC

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1043033327
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KELLI SKAGGS LCSW LLC
Practice address
4837 Swift Rd Ste 110-9
Sarasota, FL 34231-5182
Phone
(614) 500-3889
NPI assigned
Nov 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelli Skaggs, MSW, LCSWNPI 1831732429
Title
Ower
Phone
(614) 500-3889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4837 Swift Rd Ste 110-9
Sarasota, FL 34231-5182

Mailing address

4837 Swift Rd Ste 110-9
Sarasota, FL 34231-5182
Phone (614) 500-3889

Other practice location 1

555 Metro Pl N Ste 560
Dublin, OH 43017-1308
Phone (614) 500-3889

Other names 1

  • The Relatable Therapists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250110001202 OH Part B Supplier - Clinic/Group Practice 5193253722 Receives reassigned benefits from 3 practitioners
Practice locations: Dublin, OH

National Provider Directory

National Provider Directory

Locations

4837 Swift Rd
Ste 1109
Sarasota, FL 34231
Phone (614) 500-3889

550 Metro Pl N
Ste 560
Dublin, OH 43017
Phone (614) 500-3889

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1043033327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 SWIFT RD STE 110-9",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342315182",
            "telephone_number": "614-500-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 SWIFT RD STE 110-9",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342315182",
            "telephone_number": "614-500-3889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Metro Pl N Ste 560",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430171308",
            "country_code": "US",
            "telephone_number": "614-500-3889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KELLI SKAGGS LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "614-500-3889",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Relatable Therapists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.