SKC Therapy Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SKC THERAPY SERVICES PLLC

Practice address

255 W Lebanon Ste 224
Frisco, TX 75036-3404

Phone

(830) 237-0599

NPI assigned

Aug 17, 2022

Organization subpart

No

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

Authorized official

Name

Shannon K Campbell, LCSWNPI 1609414200

Title

Owner

Phone

(904) 302-9376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Shannon Kohlenberg Campbell, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1609414200
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1093433989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5562 MESA VERDE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LEBANON STE 224",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750363404",
            "telephone_number": "830-237-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKC THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-302-9376",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SK Innovative Brain Health PLLC
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• SK Urgent Care PLLC
• Alexis Skalberg, OTR
• Anna Skavlan
• Jean P. Skeffington, CCC-SLP
• Meghan M Skelton, LCSW
• John Andrew Skiendzielewski, D.O.
• Skilled Kidney Care, PLLC
• Skilled Primary Care PLLC

• Clinical Social Worker in Frisco, TX
• Providers in Frisco, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.