Jacqulyn M. Skinner, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006994 Issued in SC

Practice address

601 W Main St
Spartanburg, SC 29301-2105

Phone

(864) 612-1500

Fax

(864) 542-2324

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lynn Skinner-Johnson Other name

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Turning Leaves Center LLC

  • Clinical Social Worker
  • Spartanburg, SC
  • NPI 1831664614

  Clinical

  NPD (past)
• Turning Leaves Therapy, LLP

  • Clinical Social Worker
  • Spartanburg, SC
  • NPI 1972727261

  Clinical

  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1255543799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LITTLEFIELD ST",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293491430",
            "telephone_number": "864-612-1500",
            "fax_number": "864-542-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012105",
            "telephone_number": "864-612-1500",
            "fax_number": "864-542-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "JACQULYN",
        "middle_name": "M.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "006994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q351330281",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "SKINNER-JOHNSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Singleton, MS CCC-SLP
• Sara Sipe, LMFT
• Tina Skariah, D.O.
• Martha Skelton-Patrick, LISW-CP
• Kaitlin Cieslak Skelton, APRN, CRNA
• Skylyn Dental Associates LLC
• Skylyn Medical Associates PA
• Skylyn Medical Associates, PA
• Skylyn Wellness Center, Inc
• Skylyn Wellness Center, Inc.

• All providers in Spartanburg, SC
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.