Individual provider Active NPI

Skyler Elizabeth Terrell, LMSW

  • Clinical Social Worker
  • Ponchatoula, LA
National Provider Identifier
1285313296
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16092 Issued in LA
Practice address
17445 Baywood Dr
Ponchatoula, LA 70454-4949
Phone
(985) 351-6600
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 16092 LA Primary

Addresses

Primary practice location

17445 Baywood Dr
Ponchatoula, LA 70454-4949

Mailing address

17445 Baywood Dr
Ponchatoula, LA 70454-4949
Phone (985) 351-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20240321001032 LA Practitioner - Clinical Social Worker 0446697866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Partners LLCGroup PAC ID 0941460471, 7 clinicians

Practice addresses (Care Compare)

60 Louis Prima Dr a
Covington, LA 70433-5903
Phone (985) 327-5427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16092LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Partners,LLC CurrentSince Mar 6, 2024 Accepting new patients

Locations

60 Louis Prima Dr
#A
Covington, LA 70433
Phone (985) 327-5427

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1285313296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17445 BAYWOOD DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704544949",
            "telephone_number": "985-351-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17445 BAYWOOD DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704544949",
            "telephone_number": "985-351-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "SKYLER",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "16092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

Verify at the official NPI Registry.