Active NPI
Sara Kathleen Skinner, LCSW
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1679912182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009549
- Practice address
- 1121 W Chapel Hill St
Suite 100
Durham, NC 27701-3027 - Phone
- (919) 385-0780
- Fax
- (919) 419-9353
- NPI assigned
- Jun 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C009549 | NC | Primary |
Addresses
Primary practice location
1121 W Chapel Hill St
Suite 100
Durham, NC 27701-3027
Mailing address
1121 W Chapel Hill St
Suite 100
Durham, NC 27701-3027
Phone (919) 385-0780
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C009549 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Child and Family Health | Clinical | Past | Accepting new patients |
| David Young Oh, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1679912182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 W CHAPEL HILL ST",
"address_2": "SUITE 100",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013027",
"telephone_number": "919-385-0780",
"fax_number": "919-419-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 W CHAPEL HILL ST",
"address_2": "SUITE 100",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013027",
"telephone_number": "919-385-0780",
"fax_number": "919-419-9353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "SARA",
"middle_name": "KATHLEEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.