Active NPI
Gary S Skinner, LCSW
- Clinical Social Worker
- Wake Forest, NC
National Provider Identifier
1346788791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003506
- Practice address
- 10580 Ligon Mill Rd # 210
Wake Forest, NC 27587-6090 - Phone
- (919) 263-9592
- Fax
- (919) 263-9670
- NPI assigned
- Feb 6, 2017
- Last updated
- Feb 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C003506 | NC | Primary |
Addresses
Primary practice location
10580 Ligon Mill Rd # 210
Wake Forest, NC 27587-6090
Mailing address
10580 Ligon Mill Rd # 210
Wake Forest, NC 27587-6090
Phone (919) 263-9592
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003506 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perkins Counseling and Psychological Services, PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Wake Forest, NC
- NPI 1750641213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1346788791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10580 LIGON MILL RD # 210",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876090",
"telephone_number": "919-263-9592",
"fax_number": "919-263-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10580 LIGON MILL RD # 210",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876090",
"telephone_number": "919-263-9592",
"fax_number": "919-263-9670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "GARY",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-06",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
- Ravi K. Singh, PA-C
- Jearilyn Anise Singleton, M.S., LMFTA, LCAS-A
- Joseph S Siragusa, D.C., M. ED.
- Georgia Angeli Skelly, RD, MS, LDN
- Krystle Murphy Skelton, M.A., CCC-SLP
- Celina May Skrtich
- Skys Infusion & Healthcare Services PLLC (Sky's HealthCare)
- Skyywell Health Inc
- Sleepmed Therapies Inc.
- Claudette E Smith-Brown, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.