Active NPI
Skylar Liam Newkirk, LICSW
- Clinical Social Worker
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60821834
- Practice address
- 2415 NE 134TH St Ste 301
Vancouver, WA 98686-3029 - Phone
- (360) 882-2778
- NPI assigned
- Sep 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC60503902 | WA | |
| Clinical Social Worker | 1041C0700X | LW60821834 | WA | Primary |
Addresses
Primary practice location
2415 NE 134TH St Ste 301
Vancouver, WA 98686-3029
Mailing address
PO Box 4825
Portland, OR 97208-4825
Phone (360) 882-2778
Other practice location 1
5611 Bayview Rd
Langley, WA 98260-9735
Phone (417) 225-8288
Other practice location 2
317 Sanders Way
Goldendale, WA 98620-9059
Phone (509) 773-2732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2525 NE 139TH St
Vancouver, WA 98686-2719
Phone (360) 882-2778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC60503902 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients |
Locations
2525 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1500
2415 NE 134th St
Ste 301
Vancouver, WA 98686
Phone (360) 576-3354
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
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.
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Eyewear Supplier
- Ridgefield, WA
- NPI 1760004477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1558870832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4825",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084825",
"telephone_number": "360-882-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 NE 134TH ST STE 301",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986863029",
"telephone_number": "360-882-2778"
}
],
"practiceLocations": [
{
"address_1": "5611 Bayview Rd",
"address_purpose": "LOCATION",
"city": "Langley",
"state": "WA",
"postal_code": "982609735",
"country_code": "US",
"telephone_number": "417-225-8288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "317 Sanders Way",
"address_purpose": "LOCATION",
"city": "Goldendale",
"state": "WA",
"postal_code": "986209059",
"country_code": "US",
"telephone_number": "509-773-2732",
"fax_number": "509-773-2733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWKIRK",
"first_name": "SKYLAR",
"middle_name": "LIAM",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-29",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC60503902",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60821834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.