Kerrigan Marie Skruck, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2203950 Issued in OH

Practice address

2401 Belmont Ave
Youngstown, OH 44505-2405

Phone

(330) 743-1015

Fax

(330) 743-1025

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

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.

• Coleman Professional Services, Inc.

  • Mental Health Counselor
  • Kent, OH
  • NPI 1982637633

  Social Worker

  Medicare reassignment NPD
• Compass Family and Community Services

  • Community/Behavioral Health Agency
  • Youngstown, OH
  • NPI 1699742239
  Medicare reassignment NPD
• Rajendra P Koirala, M.D., LLC

  • Psychiatry Physician
  • Youngstown, OH
  • NPI 1760977177
  Medicare reassignment
• Compass Family and Community Services

  • Community/Behavioral Health Agency
  • Warren, OH
  • NPI 1083054506
  NPD
• Rajendra P Koirala, M.D., LLC

  • Family Medicine Physician
  • Youngstown, OH
  • NPI 1265142830
  NPD

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667001600000",
    "number": "1386290823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052405",
            "telephone_number": "330-743-1015",
            "fax_number": "330-743-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052405",
            "telephone_number": "330-743-1015",
            "fax_number": "330-743-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRUCK",
        "first_name": "KERRIGAN",
        "middle_name": "MARIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1904201",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Skinner
• Faith C Skinner, CDCA-PRE
• Sandra Jane Sklenar, OTR L
• Caitlin Ann Skoloda
• Ramona Skriiko, LPCC
• Vanessa Slappy
• Carly Slattery
• Michael J Slattery, CRNA
• Stephanie Slattery
• Carmella Irene Slaughter, CDCA

• Clinical Social Worker in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; 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.