Nicole E Skylis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091856 Issued in MI

Practice address

3174 Packard St
Ann Arbor, MI 48108-1947

Phone

(734) 971-1073

NPI assigned

Feb 11, 2010

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://arrprd.metrohealth.net/fhir/api/FHIR/R4

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.

• Huffmaster Therapeutic Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Royal Oak, MI
  • NPI 1033849823
  Medicare reassignment NPD
• Packard Health, Inc.

  • Clinic/Center
  • Ann Arbor, MI
  • NPI 1609988245
  Medicare reassignment NPD
• Packard Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ypsilanti, MI
  • NPI 1205538584
  NPD
• Family Medical Center of Michigan,Inc

  • Federally Qualified Health Center (FQHC)
  • Temperance, MI
  • NPI 1265591812
  NPD (past)
• Packard Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ann Arbor, MI
  • NPI 1841687589
  NPD (past)

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1376875666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3174 PACKARD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081947",
            "telephone_number": "734-971-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3174 PACKARD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081947",
            "telephone_number": "734-971-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKYLIS",
        "first_name": "NICOLE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Skogheim
• Christos A Skouteris, D.M.D, PHD
• Taylor Julia Skraba
• Rafael Skrobola
• Amy Jo Skyles, PHARM.D.
• Ian Frederick Slack, M.D.
• Paula B Slack, N.P.
• Paula Elizabeth Esteva Slack, DNP
• Steven Slack, M.D.
• Heidi Katherine Slager, AU.D.

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.