Alexis Ann Skelley, LCSW, LISW-CP, CDE

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122232 Issued in SC

Practice address

1608 Main St
Conway, SC 29526-3572

Phone

(843) 450-2727

NPI assigned

Feb 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Alexis Skelley Elliott Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexisskelley@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MCPC-11, LLC

  dba FirstHealth Behavioral Services

  • Adult Mental Health Clinic/Center
  • Pinehurst, NC
  • NPI 1841635455

  Multi-Specialty

  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1891233144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71256",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295720039",
            "telephone_number": "843-450-2727",
            "fax_number": "843-564-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263572",
            "telephone_number": "843-450-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283748708",
            "country_code": "US",
            "telephone_number": "910-715-3376",
            "fax_number": "910-715-5391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKELLEY",
        "first_name": "ALEXIS",
        "middle_name": "ANN",
        "credential": "LCSW, LISW-CP, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009475",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "122232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "ELLIOTT",
            "middle_name": "SKELLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lathonau Vertrell Singletary
• Veronica Latasha Singletary
• Ray Anthony Singleton, MA
• Sierra Singleton
• Sistas of Encouragement
• Chad James Skidmore
• Tonya Hilton Skipper, NP
• Small Counseling and Wellness LLC
• Adrian Small, RN
• Alfreda Small

• Clinical Social Worker in Conway, SC
• Providers in Conway, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.