Sophie Skochelak, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851108783 Issued in MI

Practice address

8080 Moorsbridge Rd Ste 102
Portage, MI 49024-4422

Phone

(269) 795-6681

NPI assigned

Nov 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Michigan Integrated Therapies

  • Mental Health Counselor
  • Portage, MI
  • NPI 1003522061
  NPD
• Michigan Integrated Therapies

  • Mental Health Counselor
  • Portage, MI
  • NPI 1275032807
  NPD

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1447969845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5591 N MAPLE RD",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481768758",
            "telephone_number": "734-545-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 MOORSBRIDGE RD STE 102",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244422",
            "telephone_number": "269-795-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOCHELAK",
        "first_name": "SOPHIE",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851108783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James H Simonds, DPM
• Alonzo Sims-Ampey-Littlejohn
• Laurie Sindelar
• Lashala Sivley
• Jaroslaw P Siwik, MD
• Lindsey Alexandra Skolnik, DO
• Thomas A Slack, DDS
• Ronald D Slager
• Brianna Slaten
• Sleep Health

• Social Worker in Portage, MI
• Providers in Portage, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.