Natalie Marie Skow, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16839 Issued in MN

Practice address

315 W Eagle Lake Dr
Maple Grove, MN 55369-5552

Phone

(612) 578-9151

Fax

(952) 474-3864

NPI assigned

Aug 1, 2011

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Associated Clinic of Psychology Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Louis Park, MN
  • NPI 1588741292
  NPD (past)

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1972881498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W EAGLE LAKE DR",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695552",
            "telephone_number": "612-578-9151",
            "fax_number": "952-474-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W EAGLE LAKE DR",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695552",
            "telephone_number": "612-578-9151",
            "fax_number": "952-474-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOW",
        "first_name": "NATALIE",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara M Sipple, OTR/L, CHT
• Ian Thomas Skare, CNP, PMHNP
• Linda Marie Skillingstad, LICSW
• Minwendam Wabigonis Shashana Skippingday
• Kraig W. Skistad, LPCC
• Izabella Skrivseth
• Skyline Mental Health Services LLC
• Jamie Lin Sledd, DDS
• Bernard Alan Slutsky, M.A. LICSW
• SMC Ahston Inc

• 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 Aug 1, 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.