Mickey Skidmore, ACSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C000177 Issued in NC

Practice address

926 2ND St NE
Suite #306
Hickory, NC 28601-3869

Phone

(828) 302-3434

NPI assigned

Sep 13, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Turning Points Counseling Center Inc

  • Clinical Social Worker
  • Hickory, NC
  • NPI 1477694768
  NPD (past) Authorized official

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811982010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 39TH AVENUE CT NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286019065",
            "telephone_number": "828-302-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 2ND ST NE",
            "address_2": "SUITE #306",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013869",
            "telephone_number": "828-302-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIDMORE",
        "first_name": "MICKEY",
        "name_prefix": "Mr.",
        "credential": "ACSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2007-07-09",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002624",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER #",
            "identifier": "C4769",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "2091760",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHA PROVIDER #",
            "identifier": "3221",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "76734",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julianna Nemeth Simpson, COTA/L
• Nancy M Simpson, CRNA
• Andrea Nicole Sinclair, PSYD
• Eric E Sipe, LPA
• Brian Sizemore, PHARMD
• Scott Charles Sledge, M. D.
• Christy Slutsky, MA, CCC-SLP
• Small and Piers LLP
• Frank C Smeeks III, MD
• Ailisa Hipp Smith, MD

• Clinical Social Worker in Hickory, NC
• Providers in Hickory, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.