Individual provider Active NPI

Meredith Jane Skaggs, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1720174766
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58680 Issued in TX
Practice address
17 Vista Precioso
Santa Fe, NM 87507-3448
Phone
(479) 445-3474
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 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 58680 TX Primary

Addresses

Primary practice location

17 Vista Precioso
Santa Fe, NM 87507-3448

Mailing address

17 Vista Precioso
Santa Fe, NM 87507-3448
Phone (479) 445-3474

Other practice location 1

7429 Oakbluff Dr
Dallas, TX 75254-2819
Phone (479) 445-3474

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1720174766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VISTA PRECIOSO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073448",
            "telephone_number": "479-445-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 VISTA PRECIOSO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073448",
            "telephone_number": "479-445-3474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7429 Oakbluff Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752542819",
            "country_code": "US",
            "telephone_number": "479-445-3474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "MEREDITH",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.