Active NPI
Maria Campbell Lathrop-Skalos, LCSW, LICSW, BCD
- Clinical Social Worker
- Burien, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60870468
- Practice address
- 15811 Ambaum Blvd SW Ste 110
Burien, WA 98166-3071 - Phone
- (206) 242-8211
- Fax
- (206) 242-0162
- NPI assigned
- Feb 5, 2008
- Last updated
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 38131 | ID | |
| Clinical Social Worker | 1041C0700X | 60870468 | WA | Primary |
| Clinical Social Worker | 1041C0700X | 3264 | LA |
Addresses
Primary practice location
15811 Ambaum Blvd SW Ste 110
Burien, WA 98166-3071
Mailing address
15811 Ambaum Blvd SW Ste 110
Burien, WA 98166-3071
Phone (206) 242-8211
Other practice location 1
112 Mark Twain Dr Apt 26
River Ridge, LA 70123-2452
Phone (504) 239-1974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15811 Ambaum Blvd SW
Suite 110
Burien, WA 98166-3071
Phone (206) 242-8211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3264 | LA | MD | Professional Counselor |
| 38131 | ID | MD | Clinical Social Worker |
| 60870468 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Services for Wellbeing, Inc. | Current | Accepting new patients | |
| R&R Home Care, Inc. | Past | Accepting new patients |
Locations
15811 Ambaum Blvd SW
Ste 110
Burien, WA 98166
Phone (206) 242-8211
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Burien, WA
- NPI 1588080626
-
- Home Health Agency
- Mandeville, LA
- NPI 1962503482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1417135146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15811 AMBAUM BLVD SW STE 110",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663071",
"telephone_number": "206-242-8211",
"fax_number": "206-242-0162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15811 AMBAUM BLVD SW STE 110",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663071",
"telephone_number": "206-242-8211",
"fax_number": "206-242-0162"
}
],
"practiceLocations": [
{
"address_1": "112 Mark Twain Dr Apt 26",
"address_purpose": "LOCATION",
"city": "River Ridge",
"state": "LA",
"postal_code": "701232452",
"country_code": "US",
"telephone_number": "504-239-1974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATHROP-SKALOS",
"first_name": "MARIA",
"middle_name": "CAMPBELL",
"name_prefix": "Ms.",
"credential": "LCSW, LICSW, BCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "38131",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "60870468",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "3264",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.