Skyler Danele Back, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1203 American Greeting Card Rd
Corbin, KY 40701-4811

Phone

(606) 528-7010

NPI assigned

Jan 29, 2020

Last updated

May 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bluegrass Behavioral Health Group, LLC

  dba Cultivate Behavioral Health and Education

  • Behavior Analyst
  • Edgewood, KY
  • NPI 1952840860

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1306477336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BURKSHIRE ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016519",
            "telephone_number": "606-620-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 AMERICAN GREETING CARD RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014811",
            "telephone_number": "606-528-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACK",
        "first_name": "SKYLER",
        "middle_name": "DANELE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kameryn Klayre Ashurst, OTR/L
• Maria C. Atienza, MD
• Atlas Pain and Spine PLLC
• Alexandra Aven, MD
• Amber Kirsten/Lee Ayers, BS
• Judy Carol Bailey, LPCC
• Kimberly Lynn Bailey, MA
• Rebecca Ruth Bailey, LCSW
• Brianna Jane Baird, BS, TCADC
• Alyssa Taylor Baker, BS, TCADC

• Clinical Social Worker in Corbin, KY
• Providers in Corbin, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.