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MR. MITCHELL ALEXANDER SKIDMORE LSCSW
NPI 1407511520
Social Worker - Clinical in Topeka, KS

Active since November 03, 2021Opted out of Medicare · through Jan 1, 2028
3649 SW BURLINGAME RD STE 100, TOPEKA, KS 66611(785) 205-6588(785) 266-4533 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2023, Nov 3, 2021 (2 updates tracked since 2021).

About Mr. Mitchell Alexander Skidmore Lscsw NPPES

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

MR. MITCHELL ALEXANDER SKIDMORE LSCSW (NPI 1407511520) is an individual clinical provider in Topeka, Kansas, licensed in Kansas (06100) and active in the NPI registry since November 2021. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1407511520
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MITCHELL ALEXANDER SKIDMORECredential: LSCSW
Location Address3649 SW BURLINGAME RD STE 100Topeka, KS 66611-2155
Mailing Address3649 Sw Burlingame Rd Ste 100Topeka, KS 66611-2155 · (785) 205-6588 · Fax (785) 266-4533
Phone(785) 205-6588
Fax(785) 266-4533
Sole ProprietorYes
Enumeration DateNovember 3, 2021
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1407511520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KS · 06100
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 11421 (KS)
3649 SW BURLINGAME RD STE 100, Topeka, KS 66611
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Mr. Mitchell Alexander Skidmore Lscsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

HEALING THERAPY SOLUTIONS LLC
Social Worker (Clinical)
3649 SW BURLINGAME RD STE 100
TOPEKA, KS 66611
Shawnee County (785) 260-7602
INSIGHT THERAPY AND RELATIONAL WELLNESS LLC
Social Worker (Clinical)
3649 SW BURLINGAME RD STE 100
TOPEKA, KS 66611
Shawnee County (785) 205-6588
LAMA A ALHEZAYEN LMSW
Social Worker
3649 SW BURLINGAME RD STE 100
TOPEKA, KS 66611
Shawnee County (785) 266-6751

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 Mitchell Skidmore's NPI number?

The NPI number for Mitchell Skidmore is 1407511520. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Where is Mitchell Skidmore located?

Mitchell Skidmore practices at 3649 SW Burlingame Rd Ste 100, Topeka, KS 66611. The listed phone number is (785) 205-6588.

What is Mitchell Skidmore's specialty?

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

Is Mitchell Skidmore enrolled in Medicare?

No. Mitchell Skidmore has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mitchell Skidmore accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Mitchell 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 Mitchell Skidmore was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.