Tena P Slizeski

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PCSW-854 Issued in WY

Practice address

721 E Lincolnway
Cheyenne, WY 82001-4703

Phone

(307) 640-6684

NPI assigned

Dec 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1114565157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 E LINCOLNWAY",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014703",
            "telephone_number": "307-640-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 E LINCOLNWAY",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014703",
            "telephone_number": "307-640-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIZESKI",
        "first_name": "TENA",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cheyenne",
            "affiliation": "N",
            "address_1": "721 E Lincolnway",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820014703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles David Skinner, M.A., L.P.C.
• Jack Durwood Skinner II, RN
• Karin C Skinner, MS
• David M Skolnick, DO
• Jamie Skrove, D.O.
• Michael L Sloan, M.D.
• Alexander Antoni Slota, MD
• Smart Sports Medicine Clinic PC
• Smart Sports Medicine LLC
• Edward N Smedley, PHARMD

• Clinical Social Worker in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.