Individual provider Active NPI

Verrita Skillern

  • Clinical Social Worker
  • Corinth, TX
National Provider Identifier
1457055634
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110660 Issued in TX
Practice address
6820 S Stemmons Fwy Ste 115
Corinth, TX 76210-7401
Phone
(469) 864-0083
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 110660 TX Primary

Addresses

Primary practice location

6820 S Stemmons Fwy Ste 115
Corinth, TX 76210-7401

Mailing address

1801 Summit Ave Apt 4116
Lewisville, TX 75077-2580
Phone (469) 864-0083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110660TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1457055634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SUMMIT AVE APT 4116",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772580",
            "telephone_number": "469-864-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 S STEMMONS FWY STE 115",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762107401",
            "telephone_number": "469-864-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILLERN",
        "first_name": "VERRITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "110660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, TX

Sources for this page

Verify at the official NPI Registry.