Individual provider Active NPI

Skylar Stockton-Gossett

  • Clinical Social Worker
  • Munfordville, KY
National Provider Identifier
1407736440
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
259805 Issued in KY
Practice address
103 E South St
Munfordville, KY 42765-9023
Phone
(270) 696-3181
NPI assigned
Sep 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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 259805 KY Primary

Addresses

Primary practice location

103 E South St
Munfordville, KY 42765-9023

Mailing address

103 E South St
Munfordville, KY 42765-9023
Phone (270) 696-3181

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

LicenseStateTypeSpecialty
259805KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Professional Counseling, LLC CurrentSince Sep 8, 2025 Accepting new patients
Kimberly Gambino LLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

103 E South St
Munfordville, KY 42765
Phone (270) 524-7939

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": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1407736440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E SOUTH ST",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "427659023",
            "telephone_number": "270-696-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E SOUTH ST",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "427659023",
            "telephone_number": "270-696-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON-GOSSETT",
        "first_name": "SKYLAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munfordville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.