Individual provider Active NPI

Maya Necole Skinner

  • Clinical Social Worker
  • Lexington, SC
National Provider Identifier
1265009641
Registry record updated Jun 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14292 Issued in SC
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

Updated by the provider on Jun 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14292SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Richland Alcohol & Drug Abuse Council, Inc. CurrentSince Jan 19, 2023 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.

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.

Verify at the official NPI Registry.