Brad E Skelding, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001671 Issued in VA

Practice address

40 Court Street
Mathews, VA 23109

Phone

(804) 854-1961

Fax

(804) 725-1202

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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.

• Direct Access Internal Medicine LTD

  • Internal Medicine Physician
  • Gloucester, VA
  • NPI 1639476831

  VA

  Medicare reassignment Care Compare group NPD
• Tidewater Physicians Multispecialty Group PC

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1902848294

  VA

  Medicare reassignment NPD
• Tidewater Physicians Multispecialty Group PC

  • Ambulatory Surgical Clinic/Center
  • Williamsburg, VA
  • NPI 1316790512
  NPD

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Direct Access Internal Medicine LTD 5 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861597692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941",
            "city": "MATHEWS",
            "state": "VA",
            "postal_code": "231090941",
            "telephone_number": "804-854-1961",
            "fax_number": "804-725-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 COURT STREET",
            "city": "MATHEWS",
            "state": "VA",
            "postal_code": "23109",
            "telephone_number": "804-854-1961",
            "fax_number": "804-725-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELDING",
        "first_name": "BRAD",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Institute for Community Health Inc
• Raymond Joseph Porzio, M.D.
• Riverside Physician Services Inc
• Sonia Sadler
• Sentara Medical Group
• Audrey L. Stewart, L.AC.
• Sunflower Services LLC
• The Changing Tide Body Mind & Spirit PC Dba I Choose Life Inc.
• The Changing Tide Body, Mind & Spirit P.C.
• William Harding Walker Jr., RPH

• All providers in Mathews, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.