Jennifer Renee Skinner, LCSW, MSW, CAADC-DP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801108633 Issued in MI

Practice address

3143 W North County Line Rd
Farwell, MI 48622-9264

Phone

(989) 394-6459

NPI assigned

Jul 1, 2021

Last updated

Dec 28, 2023By 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

Enrolled in MI

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Saginaw Psychological Services IncGroup PAC ID 8426961467, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Saginaw Psychological Services, Inc.

  • Psychologist
  • Saginaw, MI
  • NPI 1821163882

  Social Worker

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1275104150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 W NORTH COUNTY LINE RD",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229264",
            "telephone_number": "989-817-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 W NORTH COUNTY LINE RD",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229264",
            "telephone_number": "989-394-6459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Hemmeter Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486033944",
            "country_code": "US",
            "telephone_number": "989-799-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MSW, CAADC-DP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801108633",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynn Ransom, RPH.
• Allison Rea
• Barbara Richmond
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 03234)
• Kristin Sentz, PTA
• Kathleen Cynthina-Elizabeth Tennant
• Amber Thrush, LPC
• Alina Elizabeth Utecht
• Abby Veit
• Heather Wentworth

• Social Worker in Farwell, MI
• Providers in Farwell, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.