Individual provider Active NPI

Skylar Faulkner

  • Clinical Social Worker
  • Centennial, CO
National Provider Identifier
1669918710
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09927148 Issued in CO
Practice address
20280 E Red Fox LN
Centennial, CO 80015-5228
Phone
(631) 827-9691
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09927148 CO Primary

Addresses

Primary practice location

20280 E Red Fox LN
Centennial, CO 80015-5228

Mailing address

20280 E Red Fox LN
Centennial, CO 80015-5228
Phone (631) 827-9691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220811001634 CO Practitioner - Clinical Social Worker 2567845381 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09927148COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Jul 29, 2022 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Sep 15, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Sep 15, 2025 Accepting new patients
Family Care Center, LLC CurrentSince Jul 29, 2022 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

6566 N Marksheffel Rd
#100
Colorado Springs, CO 80923
Phone (719) 297-7646

600 17th St
Ste 2610S
Denver, CO 80202

169 Inverness Dr W
Ste 400
Englewood, CO 80112
Phone (303) 518-8344

10535 Park Meadows Blvd
Ste 200
Lone Tree, CO 80124
Phone (303) 228-8958

Organizations & group practices 4

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": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1669918710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 E RED FOX LN",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155228",
            "telephone_number": "631-827-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 E RED FOX LN",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155228",
            "telephone_number": "631-827-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "SKYLAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.