Linda Marie Skillingstad, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8922 Issued in MN

Practice address

12915 63Rd Ave N
Maple Grove, MN 55369-6001

Phone

(952) 826-8376

Fax

(763) 383-5801

NPI assigned

Nov 2, 2011

Last updated

Dec 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1952687063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 COLFAX AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191746",
            "telephone_number": "612-822-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 63RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696001",
            "telephone_number": "952-826-8376",
            "fax_number": "763-383-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILLINGSTAD",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "8922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calli Simpson, LMFT
• Riley C Simpson, PT, DPT
• Janice M Sinclair, MD
• Sara M Sipple, OTR/L, CHT
• Ian Thomas Skare, CNP, PMHNP
• Minwendam Wabigonis Shashana Skippingday
• Kraig W. Skistad, LPCC
• Natalie Marie Skow, LICSW
• Izabella Skrivseth
• Skyline Mental Health Services LLC

• Clinical Social Worker in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.