Individual provider Active NPI

Kyla Nicole Skiffer, LMSW

  • Social Worker
  • Dearborn Heights, MI
National Provider Identifier
1538720677
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801105187 Issued in MI
Practice address
24765 Hanover St
Dearborn Heights, MI 48125-1827
Phone
(313) 485-7927
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801105187 MI
Social Worker 104100000X 6801105187 MI Primary

Addresses

Primary practice location

24765 Hanover St
Dearborn Heights, MI 48125-1827

Mailing address

24765 Hanover St
Dearborn Heights, MI 48125-1827
Phone (313) 485-7927

Other practice location 1

28175 Haggerty Rd
Novi, MI 48377-2903
Phone (734) 265-0841

Other names 1

  • Kyla Nicole Skiffer Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.hegirahealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930001201 MI Practitioner - Clinical Social Worker 1557691813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sally Barbat PLLC Single Specialty CurrentSince Aug 17, 2022 Accepting new patients
Hegira Past Accepting new patients
Hegira Past Accepting new patients

Locations

21500 Haggerty Rd
Ste 350
Northville, MI 48167
Phone (734) 265-0841

28175 Haggerty Rd
Novi, MI 48377
Phone (248) 994-7759

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1538720677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24765 HANOVER ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251827",
            "telephone_number": "313-485-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24765 HANOVER ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251827",
            "telephone_number": "313-485-7927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28175 Haggerty Rd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483772903",
            "country_code": "US",
            "telephone_number": "734-265-0841",
            "fax_number": "248-994-8090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKIFFER",
        "first_name": "KYLA",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105187",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801105187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.hegirahealth.org",
            "affiliation": "N",
            "address_1": "37450 Schoolcraft Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481501082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "SKIFFER",
            "middle_name": "NICOLE",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.