Janadell Skidmore, LMSW, ICADC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCSW-37255 Issued in ID

Practice address

3456 E 17TH St
Suite 190
Ammon, ID 83406-6757

Phone

(208) 552-9174

Fax

(208) 552-9175

NPI assigned

Jul 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New Dawn Counseling, LLC

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1912182163
  NPD (past)
• Simpson Dermcare and Family Medicine PLLC

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1174919534
  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1295935963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 D ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023531",
            "telephone_number": "208-552-9174",
            "fax_number": "208-552-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 E 17TH ST",
            "address_2": "SUITE 190",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066757",
            "telephone_number": "208-552-9174",
            "fax_number": "208-552-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIDMORE",
        "first_name": "JANADELL",
        "name_prefix": "Ms.",
        "credential": "LMSW, ICADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "1160007",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LCSW-37255",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-27972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADC",
            "identifier": "1160007",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "LMSW-27972",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Shumate, RECOVERY COACH
• Signature Hospice & Palliative Care
• Carrie Silva, CNIM, REEGT, RPSGT
• Saul Alejandro Silva
• Isac Phil Simpson, D.O.
• Megan Diane Slusher, B.S.
• Smith Clinic P a
• Debbie Smith, LCSW
• Julie Smith, PHARMACIST
• Michael Brian Smith, NMD, MS

• Social Worker in Ammon, ID
• Providers in Ammon, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.