Individual provider Active NPI

Trevor Skibine

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1104555085
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09930042 Issued in CO
Practice address
2625 Bradbury CT
Fort Collins, CO 80521-4182
Phone
(970) 818-8483
NPI assigned
Jun 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09930042 CO Primary

Addresses

Primary practice location

2625 Bradbury CT
Fort Collins, CO 80521-4182

Mailing address

2625 Bradbury CT
Fort Collins, CO 80521-4182
Phone (970) 818-8483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627003643 CO Practitioner - Clinical Social Worker 9335683689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summitstone Health PartnersGroup PAC ID 4284527144, 116 clinicians

Practice addresses (Care Compare)

700 Centre Ave
Fort Collins, CO 80526-1842
Phone (970) 494-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summitstone Health Partners CurrentSince Mar 23, 2024 Accepting new patients
Skibine Psychotherapy LLC Clinical Current Accepting new patients
Summitstone Health Partners CurrentSince Mar 23, 2024 Accepting new patients
Summitstone Health Partners Past Accepting new patients
Summitstone Health Partners Past Accepting new patients

Locations

700 Centre Ave
Fort Collins, CO 80526
Phone (970) 494-4420

4856 Innovation Dr
Ste B
Fort Collins, CO 80525
Phone (970) 397-7815

4102 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 494-5728

4856 Innovation Dr
Fort Collins, CO 80525

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1104555085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BRADBURY CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214182",
            "telephone_number": "970-818-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 BRADBURY CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214182",
            "telephone_number": "970-818-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIBINE",
        "first_name": "TREVOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.