Individual provider Active NPI

Connie Sue Skibbe, LSCSW

  • Social Worker
  • Newton, KS
National Provider Identifier
1649426834
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4462 Issued in KS
Practice address
2216 N Anderson Ave
Newton, KS 67114-1207
Phone
(316) 772-2746
Fax
(316) 283-5495
NPI assigned
Aug 7, 2008
Last updated
Oct 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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 7153 KS
Social Worker 104100000X 4462 KS Primary

Addresses

Primary practice location

2216 N Anderson Ave
Newton, KS 67114-1207

Mailing address

PO Box 158
Newton, KS 67114-0158
Phone (316) 772-7246

Other identifiers 1

IdentifierTypeStateIssuer
200584260BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7153KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Axiom Counseling & Therapy Services Past Accepting new patients

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": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1649426834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140158",
            "telephone_number": "316-772-7246",
            "fax_number": "316-283-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 N ANDERSON AVE",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671141207",
            "telephone_number": "316-772-2746",
            "fax_number": "316-283-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIBBE",
        "first_name": "CONNIE",
        "middle_name": "SUE",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7153",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "4462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200584260B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.