Individual provider Active NPI

Stephanie Skinner, LCSW

  • Clinical Social Worker
  • Zachary, LA
National Provider Identifier
1952379398
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3106B Issued in LA
Practice address
4787 Waywood Dr
Suite C
Zachary, LA 70791-2465
Phone
(225) 654-6321
Fax
(225) 654-6321
NPI assigned
Mar 10, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 3106B LA Primary

Addresses

Primary practice location

4787 Waywood Dr
Suite C
Zachary, LA 70791-2465

Mailing address

4787 Waywood Dr
Suite C
Zachary, LA 70791-2465
Phone (225) 654-6321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20110321000752 LA Practitioner - Clinical Social Worker 7214110790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4787 Waywood Dr C
Zachary, LA 70791-2465
Phone (225) 654-6321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3106BLAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Skinner & Associates Clinical CurrentSince Mar 4, 2011 Accepting new patients
Zachary Psychology Center, Inc. Past Accepting new patients

Locations

1215 Independence Blvd
Ste 5B
Zachary, LA 70791
Phone (225) 399-7905

4787 Waywood Dr
Ste C
Zachary, LA 70791
Phone (225) 654-6321

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1952379398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4787 WAYWOOD DR",
            "address_2": "SUITE C",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912465",
            "telephone_number": "225-654-6321",
            "fax_number": "225-654-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4787 WAYWOOD DR",
            "address_2": "SUITE C",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912465",
            "telephone_number": "225-654-6321",
            "fax_number": "225-654-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3106B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.