Active NPI
Elizabeth Ann Skipper, LCSW
- Clinical Social Worker
- Picayune, MS
National Provider Identifier
1497477723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C10330
- Practice address
- 15044 Fleming Rd
Picayune, MS 39466-7502 - Phone
- (601) 337-1586
- NPI assigned
- Sep 13, 2022
- Last updated
- Sep 13, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C10330 | MS | Primary |
Addresses
Primary practice location
15044 Fleming Rd
Picayune, MS 39466-7502
Mailing address
15044 Fleming Rd
Picayune, MS 39466-7502
Phone (601) 337-1586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- 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, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15044 Fleming Rd
Picayune, MS 39466-7502
315 N Main St
Picayune, MS 39466-3313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10330 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus, PLLC | Clinical | Current | Accepting new patients |
Locations
315 N Main St
Picayune, MS 39466
Phone (769) 242-0087
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1497477723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15044 FLEMING RD",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394667502",
"telephone_number": "601-337-1586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15044 FLEMING RD",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394667502",
"telephone_number": "601-337-1586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIPPER",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C10330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.