Active NPI
Tonia Skaggs, LCSW
- Clinical Social Worker
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 255140
- Practice address
- 9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812 - Phone
- (502) 749-6249
- Fax
- (502) 749-9983
- NPI assigned
- Sep 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 255140 | KY | Primary |
Addresses
Primary practice location
9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812
Mailing address
615 Elsinore PL Ste 300
Cincinnati, OH 45202-1475
Phone (513) 834-7063
Other practice location 1
2645 N Laurel Rd Ste B
London, KY 40741-9075
Phone (606) 802-7782
Other practice location 2
1154A Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 868-7272
Other practice location 3
796 W Broadway St
Campbellsville, KY 42718-2783
Phone (513) 834-7063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100697640 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255140 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightview, LLC | Current | Accepting new patients | |
| Brightview LLC | Current | Accepting new patients | |
| Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. | Current | Accepting new patients | |
| PPL Therapeutic Services PLLC | Clinical | Current | Accepting new patients |
| Lake Cumberland Regional MHMR Board Outpatient | Past | Accepting new patients |
Locations
250 Watertower Byp
Campbellsville, KY 42718
Phone (270) 465-4931
200 E Frazier Ave
Columbia, KY 42728
Phone (270) 384-4710
100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111
1154A Lexington Rd
Georgetown, KY 40324
Phone (502) 868-0008
575 W Main St
Lexington, KY 40507
2645 N Laurel Rd
#B
London, KY 40741
Phone (502) 749-6249
9702 Stonestreet Rd
Ste 120
Louisville, KY 40272
Phone (502) 749-6249
9 E Arch St
Madisonville, KY 42431
Phone (270) 491-3942
506 N Main St
Nicholasville, KY 40356
Phone (859) 887-3712
599 Rogersville Rd
Radcliff, KY 40160
Phone (270) 351-2999
130 Southern School Rd
Somerset, KY 42501
Phone (606) 679-4782
615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800
Organizations & group practices 5
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.
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1336172642
-
- Addiction Medicine (Internal Medicine) Physician
- Asheboro, NC
- NPI 1962163782
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1992831713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1932657749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 300",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021475",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9702 STONESTREET RD STE 120",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402726812",
"telephone_number": "502-749-6249",
"fax_number": "502-749-9983"
}
],
"practiceLocations": [
{
"address_1": "2645 N Laurel Rd Ste B",
"address_purpose": "LOCATION",
"city": "London",
"state": "KY",
"postal_code": "407419075",
"country_code": "US",
"telephone_number": "606-802-7782",
"fax_number": "606-712-4033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1154A Lexington Rd",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "KY",
"postal_code": "403249330",
"country_code": "US",
"telephone_number": "502-868-7272",
"fax_number": "502-868-7273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "796 W Broadway St",
"address_purpose": "LOCATION",
"city": "Campbellsville",
"state": "KY",
"postal_code": "427182783",
"country_code": "US",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKAGGS",
"first_name": "TONIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "255140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100697640",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.