Individual provider Active NPI

Tonia Skaggs, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1932657749
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255140 Issued in KY
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

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100697640MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019002342 KY Practitioner - Clinical Social Worker 4880014570 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255140KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview, LLC CurrentSince Jun 1, 2021 Accepting new patients
Brightview LLC CurrentSince Jun 1, 2021 Accepting new patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. CurrentSince Oct 16, 2023 Accepting new patients
PPL Therapeutic Services PLLC Clinical CurrentSince Oct 15, 2020 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.

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

Verify at the official NPI Registry.