Stacey Ann Skelton, MSW, MPA, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.108664 Issued in IL

Practice address

201 W Springfield Ave Ste 1002
Champaign, IL 61820-4834

Phone

(217) 607-2020

NPI assigned

Jul 20, 2011

Sex

Female

Sole proprietor

No

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

Interoperability endpoints

• Direct secure messaging: stacey.skelton.d1.p11@direct.fhn-fqhc.nextgenshare.com

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.

• Soul Counseling, PLLC

  • Clinical Social Worker
  • Champaign, IL
  • NPI 1932825122
  NPD (past)
• Cartwheel Health Services PC

  • Child & Adolescent Psychiatry Physician
  • Cambridge, MA
  • NPI 1912633975
  NPD (past)

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1497043723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W SPRINGFIELD AVE STE 1002",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204834",
            "telephone_number": "217-607-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W SPRINGFIELD AVE STE 1002",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204834",
            "telephone_number": "217-607-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MSW, MPA, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.108664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Crawford Simms, M.A.M.F.T
• Andrew Simon
• Kellyn Singer
• Matthew Owen Siuta
• Melanie Sivley, LSCW
• Sandra Slayton, M.S., LPC, NCC
• Ashia Smart
• Kathy Smeltzer, N.P.
• Ashley Smiley, LPC
• Michael F Smiricky, RPH, MS, MBA

• Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.