Individual provider Active NPI

Sue Wona Skains

  • Social Worker
  • Ruston, LA
National Provider Identifier
1285049049
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8165 Issued in LA
Practice address
4396 Highway 80
Ruston, LA 71270-8948
Phone
(318) 251-4659
Fax
(318) 251-4659
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8165 LA
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X 8165 LA Primary

Addresses

Primary practice location

4396 Highway 80
Ruston, LA 71270-8948

Mailing address

4396 Highway 80
Ruston, LA 71270-8948
Phone (318) 251-4659

Other identifiers 1

IdentifierTypeStateIssuer
13579MedicaidLA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8165LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Counseling Past Accepting new patients

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1285049049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4396 HIGHWAY 80",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712708948",
            "telephone_number": "318-251-4659",
            "fax_number": "318-251-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4396 HIGHWAY 80",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712708948",
            "telephone_number": "318-251-4659",
            "fax_number": "318-251-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAINS",
        "first_name": "SUE",
        "middle_name": "WONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8165",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "8165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13579",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.