Skye Eileen Wyrick, LCSW
Individual provider Active NPI Clinical Social Worker · Ennis, MT
NPI 1215316062 · NPPES record last updated Jan 2, 2025
Key facts
- NPI
- 1215316062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 70523 (MT)
- Practice address
- 222 E Main St Unit 1E
Ennis, MT 59729-9230 - Phone
- (720) 295-6758
- NPI assigned
- May 27, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250502001984 | MT | Practitioner - Clinical Social Worker | 5890212898 | Practice locations: Ennis, MT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5041 | ND | MD | Social Worker |
| 09928397 | CO | MD | Clinical Social Worker |
| 70523 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divide County Social Services | Social Worker | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5041 | ND | |
| Clinical Social Worker | 1041C0700X | 09928397 | CO | |
| Clinical Social Worker | 1041C0700X | 70523 | MT | Yes |
Addresses
Primary practice location
222 E Main St Unit 1E
Ennis, MT 59729-9230
Mailing address
118 Hayfield Loop TRL
Ennis, MT 59729-9171
Phone (720) 296-6758
Other practice location 1
118 Hayfield Loop Trl
Ennis, MT 59729-9171
Phone (720) 296-6758
Other names
- Skye Albert
Other providers in Ennis, MT
- Town of Ennis
- Cassie Ubaldo
- White Buffalo Star, Inc
- Wild Rose Integrative Health
- Heidi Kay Baumgartner Wilson
- Kaine Zetterberg
All providers in Ennis, MT · Clinical Social Worker in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.