Organization Active NPI

Andrea Skoglund, PLLC

  • Clinical Social Worker
  • Missouri City, TX
National Provider Identifier
1447634241
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52381 Issued in TX
Legal business name
ANDREA SKOGLUND, PLLC
Practice address
4502 Riverstone Blvd Ste 402
Missouri City, TX 77459-5200
Phone
(832) 247-8066
NPI assigned
Jul 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Andrea Skoglund, MSW, LCSWNPI 1891760021
Title
President
Phone
(832) 247-8066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 52381 TX Primary

Addresses

Primary practice location

4502 Riverstone Blvd Ste 402
Missouri City, TX 77459-5200

Mailing address

8615 S Fitzgerald Way
Missouri City, TX 77459-2475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190225001090 TX Part B Supplier - Clinic/Group Practice 8325387038 Receives reassigned benefits from 1 practitioner
Practice locations: Missouri City, TX

National Provider Directory

National Provider Directory

Locations

4502 Riverstone Blvd
Ste 402
Missouri City, TX 77459
Phone (832) 247-8066

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1447634241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 S FITZGERALD WAY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD STE 402",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595200",
            "telephone_number": "832-247-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA SKOGLUND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "SKOGLUND",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-247-8066",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.