Active NPI
Maya Necole Skinner
- Clinical Social Worker
- Lexington, SC
National Provider Identifier
1265009641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14292
- Practice address
- 1068 S Lake Dr
Lexington, SC 29073-3720 - Phone
- (803) 726-9400
- NPI assigned
- Jun 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14292 | SC | Primary |
Addresses
Primary practice location
1068 S Lake Dr
Lexington, SC 29073-3720
Mailing address
605 Angel Oak LN
Columbia, SC 29229-7469
Phone (803) 295-1591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14292 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Richland Alcohol & Drug Abuse Council, Inc. | Current | Accepting new patients |
Locations
1068 S Lake Dr
Lexington, SC 29073
Phone (803) 726-9400
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Columbia, SC
- NPI 1538153069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622851200000",
"number": "1265009641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 ANGEL OAK LN",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297469",
"telephone_number": "803-295-1591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1068 S LAKE DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290733720",
"telephone_number": "803-726-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "MAYA",
"middle_name": "NECOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-05",
"last_updated": "2021-06-05",
"certification_date": "2021-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "14292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.