Individual provider Active NPI

Madison Skillett

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1144749995
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66141 Issued in TX
Practice address
404 E Ramsey Rd Ste 114
San Antonio, TX 78216-4666
Phone
(210) 906-8962
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6506 ND
Clinical Social Worker 1041C0700X 66141 TX Primary

Addresses

Primary practice location

404 E Ramsey Rd Ste 114
San Antonio, TX 78216-4666

Mailing address

17503 La Cantera Pkwy Ste 104-487
San Antonio, TX 78257-8207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6506NDMDClinical Social Worker
66141TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meadow Lane Counseling PLLC Clinical CurrentSince Jan 15, 2023 Accepting new patients

Locations

5900 Balcones Dr
Ste 100
Austin, TX 78731

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

404 E Ramsey Rd
Ste 114
San Antonio, TX 78216
Phone (210) 617-3602

17503 La Cantera Pkwy
Ste 104487
San Antonio, TX 78257
Phone (210) 906-8962

Organizations & group practices 1

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1144749995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY STE 104-487",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E RAMSEY RD STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164666",
            "telephone_number": "210-906-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILLETT",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "6506",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.