Individual provider Active NPI

Skyler Glatt, LICSW

  • Clinical Social Worker
  • Kennewick, WA
National Provider Identifier
1184083875
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61340693 Issued in WA
Practice address
7404 W Hood PL Ste 110
Kennewick, WA 99336-6718
Phone
(509) 792-1747
Fax
(509) 579-4788
NPI assigned
Feb 23, 2016
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 LW61340693 WA Primary

Addresses

Primary practice location

7404 W Hood PL Ste 110
Kennewick, WA 99336-6718

Mailing address

5615 Dunbarton Ave
Pasco, WA 99301-8216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230103001042 WA Practitioner - Clinical Social Worker 5294105508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive HealthcareGroup PAC ID 7618875022, 32 clinicians

Practice addresses (Care Compare)

2715 Saint Andrews Loop
Suite C
Pasco, WA 99301-3386
Phone (509) 412-1051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61340693WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Healthcare CurrentSince Sep 19, 2022 Accepting new patients
Comprehensive Healthcare CurrentSince Sep 19, 2022 Accepting new patients
Service Alternatives, Inc. PastSince Apr 23, 2023 Accepting new patients

Locations

7404 W Hood Pl
#110
Kennewick, WA 99336
Phone (509) 792-1747

2715 Saint Andrews Loop
Ste C
Pasco, WA 99301
Phone (509) 412-1051

402 S 4th Ave
Yakima, WA 98902
Phone (509) 575-3874

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1184083875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 DUNBARTON AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 W HOOD PL STE 110",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366718",
            "telephone_number": "509-792-1747",
            "fax_number": "509-579-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLATT",
        "first_name": "SKYLER",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-23",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61340693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.