Individual provider Active NPI

Kristen Anne Skulicz, MSW, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1649420423
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009896 Issued in NC
Practice address
356 Biltmore Ave
Ste. 200
Asheville, NC 28801-4504
Phone
(828) 254-2700
Fax
(828) 254-1524
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X C009896 NC Primary

Addresses

Primary practice location

356 Biltmore Ave
Ste. 200
Asheville, NC 28801-4504

Mailing address

356 Biltmore Ave
Ste. 200
Asheville, NC 28801-4504
Phone (828) 254-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1649420423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 BILTMORE AVE",
            "address_2": "STE. 200",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014504",
            "telephone_number": "828-254-2700",
            "fax_number": "828-254-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 BILTMORE AVE",
            "address_2": "STE. 200",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014504",
            "telephone_number": "828-254-2700",
            "fax_number": "828-254-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKULICZ",
        "first_name": "KRISTEN",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.