Individual provider Active NPI

Lynn Michelle Skirven, LICSW, LSCSW, LCSW

  • Clinical Social Worker
  • Merriam, KS
National Provider Identifier
1992122584
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06506 Issued in KS
Practice address
7301 E Frontage Rd Ste 100
Merriam, KS 66204-1654
Phone
(913) 789-1900
Fax
(913) 789-1901
NPI assigned
Mar 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2024031516 MO
Clinical Social Worker 1041C0700X LW60945697 WA
Clinical Social Worker 1041C0700X 06506 KS Primary

Addresses

Primary practice location

7301 E Frontage Rd Ste 100
Merriam, KS 66204-1654

Mailing address

7301 E Frontage Rd Ste 100
Merriam, KS 66204-1654
Phone (913) 789-1900

Other practice location 1

1 E Main St Ste 100
Auburn, WA 98002-4905
Phone (425) 690-3480

Other practice location 2

12038 78th Ave S
Seattle, WA 98178-4405
Phone (703) 946-6268

Other practice location 3

9501 W 116th St
Overland Park, KS 66210-2834
Phone (703) 946-6268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024031516MOMDClinical Social Worker
LW60945697WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1992122584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E FRONTAGE RD STE 100",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041654",
            "telephone_number": "913-789-1900",
            "fax_number": "913-789-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E FRONTAGE RD STE 100",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041654",
            "telephone_number": "913-789-1900",
            "fax_number": "913-789-1901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980024905",
            "country_code": "US",
            "telephone_number": "425-690-3480",
            "fax_number": "425-690-9480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12038 78th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981784405",
            "country_code": "US",
            "telephone_number": "703-946-6268",
            "fax_number": "540-568-3875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9501 W 116th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662102834",
            "country_code": "US",
            "telephone_number": "703-946-6268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKIRVEN",
        "first_name": "LYNN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LICSW, LSCSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024031516",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60945697",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.