Individual provider Active NPI

Debra Genevieve Skinner

  • Clinical Social Worker
  • Somerset, MA
National Provider Identifier
1376675173
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1021089 Issued in MA
Practice address
125 Westhill Ave
Somerset, MA 02726-2910
Phone
(508) 493-0927
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 1021089 MA Primary

Addresses

Primary practice location

125 Westhill Ave
Somerset, MA 02726-2910

Mailing address

125 Westhill Ave
Somerset, MA 02726-2910
Phone (508) 493-0927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050810000350 MA Practitioner - Clinical Social Worker 1557390531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Counseling of Bristol County, Inc.Group PAC ID 0143127779, 52 clinicians

Practice addresses (Care Compare)

1 Washington St
Taunton, MA 02780-3960

1 Washington St
Taunton, MA 02780-5293
Phone (508) 977-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling of Bristol County Inc CurrentSince Jun 24, 1999 Accepting new patients
Community Counseling of Bristol County, Inc. CurrentSince Jun 24, 1999 Accepting new patients

Locations

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

Organizations & group practices 2

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1376675173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WESTHILL AVE",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027262910",
            "telephone_number": "508-493-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WESTHILL AVE",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027262910",
            "telephone_number": "508-493-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "DEBRA",
        "middle_name": "GENEVIEVE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1021089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, MA

Sources for this page

Verify at the official NPI Registry.