Jennifer Skachenko, LICSW

Key facts

NPI

1851785281

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

5107 (ND)

Practice address

300 13TH Ave W Ste 1
Dickinson, ND 58601-4875

Phone

(701) 227-7500

NPI assigned

Mar 24, 2015

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Therapy Solutions LLC Physical Therapist · Dickinson, ND · NPI 1801195045
  Medicare reassignment Care Compare group NPD CLINICAL · ND
• Badlands Behavioral Health Clinic Mental Health Clinic/Center (Including Community Mental Health Center) · Dickinson, ND · NPI 1124072525
  Medicare reassignment NPD ND
• Badlands Behavioral Health Clinic Community/Behavioral Health Agency · Dickinson, ND · NPI 1952828360
  NPD (past)

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy Solutions LLC (19 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851785281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 13TH AVE W STE 1",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014875",
            "telephone_number": "701-227-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 13TH AVE W STE 1",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014875",
            "telephone_number": "701-227-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKACHENKO",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Dickinson, ND · Clinical Social Worker in North Dakota