L Daisy Skinner MSW PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6240 Issued in FL

Legal business name

L DAISY SKINNER MSW PA

Practice address

12777 W Forest Hill Blvd
Suite 1501
Wellington, FL 33414-4775

Phone

(561) 795-9079

Fax

(561) 795-9033

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

L Daisy Skinner, LCSWNPI 1275602823

Title

President

Phone

(561) 795-9079

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• L Daisy Skinner, MSW

  • Clinical Social Worker
  • Wellington, FL
  • NPI 1275602823
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1255468377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12777 W FOREST HILL BLVD",
            "address_2": "SUITE 1501",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144775",
            "telephone_number": "561-795-9079",
            "fax_number": "561-795-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 W FOREST HILL BLVD",
            "address_2": "SUITE 1501",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144775",
            "telephone_number": "561-795-9079",
            "fax_number": "561-795-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L DAISY SKINNER MSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "DAISY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-795-9079",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1275602823",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Wellington, FL
• Providers in Wellington, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.