Skyler Dietzman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18419 Issued in FL

Practice address

1966 Maple St Apt 4
Hopkinton, NH 03229-3315

Phone

(719) 641-8860

NPI assigned

Jul 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Skyler Makkinje Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1851961734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1730",
            "city": "HILLSBORO",
            "state": "NH",
            "postal_code": "032441730",
            "telephone_number": "719-641-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 MAPLE ST APT 4",
            "city": "HOPKINTON",
            "state": "NH",
            "postal_code": "032293315",
            "telephone_number": "719-641-8860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 N Course Dr",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330693058",
            "country_code": "US",
            "telephone_number": "954-975-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2855 W Commercial Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333092973",
            "country_code": "US",
            "telephone_number": "954-739-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETZMAN",
        "first_name": "SKYLER",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "NH",
            "license": "SW18419",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SKYLER",
            "last_name": "MAKKINJE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah Coggon, LMT
• Benjamin S. Colby, MD
• Rachel Elizabeth Cook, MS
• Michelle P Currier, D.O.
• Marthajane Dawson, MA
• Christin Dion Doneski, OTR/L
• Lynn Durand, MD
• Ellen Eberhart, MA, LCMHC, MLADC
• Maryann Evers, LICSW
• Andrea L Fitzgerald, APRN

• Clinical Social Worker in Hopkinton, NH
• Providers in Hopkinton, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.