Amanda Skolmowski, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I.1700256-SUPV Issued in OH

Practice address

5115 Glendale Ave Ste N
Toledo, OH 43614-1801

Phone

(419) 476-0784

NPI assigned

Jan 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Toledo Counseling and Mental Health LLCGroup PAC ID 1254736853, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Toledo Counseling & Mental Health LLC

  • Mental Health Counselor
  • Toledo, OH
  • NPI 1174007934
  Medicare reassignment Care Compare group NPD
• A Renewed Mind

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1760749444
  NPD (past)

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1740603976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 N 13TH ST",
            "address_2": "SUITE 420",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047258",
            "telephone_number": "419-720-9247",
            "fax_number": "419-720-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 GLENDALE AVE STE N",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141801",
            "telephone_number": "419-476-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOLMOWSKI",
        "first_name": "AMANDA",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S. 1200657",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "S1200657",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1700256-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Skilliter, NP-C
• Rayven Skinner
• Jessica Skipper
• Katelyn Skoczyn, ATC/LAT
• Faith Skogen
• Jahmelia Skotawah
• Jasmine Skrada
• Gabriel Joseph Skrobot, DO
• Skrzynecki Chiropractic
• Skrzynecki Chiropractic , LLC

• Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.