Marissa Skipper, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18812 Issued in FL

Practice address

3217 Liberty Way Apt B
Hill AFB, UT 84056-1350

Phone

(863) 521-6628

NPI assigned

Dec 28, 2020

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Marissa Skipper Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aberdeen, NC
  • NPI 1790652170
  NPD Authorized official

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1235726068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 LIBERTY WAY APT B",
            "city": "HILL AFB",
            "state": "UT",
            "postal_code": "840561350",
            "telephone_number": "863-521-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 LIBERTY WAY APT B",
            "city": "HILL AFB",
            "state": "UT",
            "postal_code": "840561350",
            "telephone_number": "863-521-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIPPER",
        "first_name": "MARISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick James Scollon
• Loni Spencer Scott, DPT
• Chloe Johanna Angello Shea, MD
• Elizabeth A. Sherlock, PH.D.
• Peter Thomas Sipos, M.D.
• Claudia Irene Sloan, IDMT
• Morgan Rylee Smith, LISW
• Mayra Solorzano
• Trient Boyd Spires, DO
• Eric William Stephan, MSPT

• Clinical Social Worker in Hill AFB, UT
• Providers in Hill AFB, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.