Active NPI
Wrenn Skidmore
- Social Worker
- Columbia, MD
National Provider Identifier
1407306335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 20640
- Practice address
- 5560 Sterrett PL
Suite 201
Columbia, MD 21044-2601 - Phone
- (443) 546-4000
- NPI assigned
- Oct 4, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 20640 | MD | Primary |
Addresses
Primary practice location
5560 Sterrett PL
Suite 201
Columbia, MD 21044-2601
Mailing address
329 Prince George St
Laurel, MD 20707-4325
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1407306335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 PRINCE GEORGE ST",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5560 STERRETT PL",
"address_2": "SUITE 201",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442601",
"telephone_number": "443-546-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIDMORE",
"first_name": "WRENN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-04",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "20640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.