Active NPI
Henry William Skipp, ACSW
- Clinical Social Worker
- El Cajon, CA
National Provider Identifier
1982122107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105089
- Practice address
- 1365 N Johnson Ave Ste 111
El Cajon, CA 92020-1649 - Phone
- (619) 440-4801
- NPI assigned
- Sep 8, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 105089 | CA | Primary |
Addresses
Primary practice location
1365 N Johnson Ave Ste 111
El Cajon, CA 92020-1649
Mailing address
1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105089 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1982122107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N JOHNSON AVE STE 101",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920201651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 N JOHNSON AVE STE 111",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920201649",
"telephone_number": "619-440-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIPP",
"first_name": "HENRY",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-08",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "105089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.