MR. KEVIN SKIDMORE LMSW
NPI 1275921033
Social Worker - Clinical in Clinton Township, MI

Active since January 02, 2015PECOS EnrolledAccepts Medicare Assignment
43211 DALCOMA DR, SUITE 7, CLINTON TOWNSHIP, MI 48038(586) 421-4513(586) 948-8416 Get Directions Write a Review

NPPES record last updated: January 2, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Kevin Skidmore Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN SKIDMORE LMSW (NPI 1275921033) is an individual clinical provider in Clinton Township, Michigan, licensed in Michigan (6801077644) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1275921033
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KEVIN SKIDMORECredential: LMSW
Location Address43211 DALCOMA DR, SUITE 7Clinton Township, MI 48038-6309
Mailing Address43211 Dalcoma Dr, Suite 7Clinton Township, MI 48038-6309 · (586) 421-4513 · Fax (586) 948-8416
Fax(586) 948-8416
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 2, 2015
✔ NPI 1275921033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801077644
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
43211 DALCOMA DR, Clinton Township, MI 48038

Other Identifiers 1

Other6801077644MI · State Of Michigan Lmsw License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kevin Skidmore Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628396090
PECOS Enrollment IDI20150415000293
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kevin Skidmore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
42450 GARFIELD RD STE F
Clinton Twp, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
Internal Medicine
133 S MAIN ST
Mount Clemens, MI 48043
  • Reassigned Medicare billing, Michigan enrollment
  • 52 clinicians in this Medicare group
Internal Medicine
133 S MAIN ST
Mount Clemens, MI 48043
  • Reassigned Medicare billing, Michigan enrollment
  • 84 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
43211 DALCOMA DR, SUITE 9
CLINTON TOWNSHIP, MI 48038
Psychiatry & Neurology (Psychiatry)
43211 DALCOMA DR, STE. 3
CLINTON TOWNSHIP, MI 48038
Obstetrics & Gynecology
43211 DALCOMA DR, SUITE 4
CLINTON TOWNSHIP, MI 48038
Obstetrics & Gynecology
43211 DALCOMA DR, SUITE 4
CLINTON TOWNSHIP, MI 48038
General Practice
43211 DALCOMA DR, #3
CLINTON TWP, MI 48038
Clinic/Center (Adult Day Care)
43211 DALCOMA DR
CLINTON TWP, MI 48038
General Practice
43211 DALCOMA DR, #3
CLINTON TOWNSHIP, MI 48038
Psychologist (Clinical)
43211 DALCOMA DR, SUITE 11
CLINTON TOWNSHIP, MI 48038

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Skidmore's NPI number?

The NPI number for Kevin Skidmore is 1275921033. It was assigned to this individual provider in the NPPES registry on January 2, 2015.

Where is Kevin Skidmore located?

Kevin Skidmore practices at 43211 Dalcoma Dr Suite 7, Clinton Township, MI 48038. The listed phone number is (586) 421-4513.

What is Kevin Skidmore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kevin Skidmore enrolled in Medicare?

Yes. Kevin Skidmore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kevin Skidmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Skidmore reassigns Medicare benefits to 3 organizations: Solution-Based Counseling Services, LLC (Clinton Twp, MI), Alliance Health Professionals, PLLC (Mount Clemens, MI) and Henry Ford Physician Partners (Mount Clemens, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Skidmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Skidmore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kevin Skidmore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Skidmore was last updated on January 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.