TONI SKELTON LMSW
NPI 1730889247
Social Worker - Clinical in Kalamazoo, MI

Active since March 06, 2023PECOS EnrolledAccepts Medicare Assignment
1521 GULL RD, KALAMAZOO, MI 49048(269) 226-7000 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Toni Skelton Lmsw NPPES

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

TONI SKELTON LMSW (NPI 1730889247) is an individual clinical provider in Kalamazoo, Michigan, licensed in Michigan (6801092424) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1730889247
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTONI SKELTONCredential: LMSW
Location Address1521 GULL RDKalamazoo, MI 49048-1640
Mailing Address27751 8th AveGobles, MI 49055-9272 · (586) 337-0071
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 6, 2023
NPPES CertifiedMarch 4, 2023
NPI 1730889247 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 · 6801092424
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.
1521 GULL RD, Kalamazoo, MI 49048

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Toni Skelton 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 ID4688031727
PECOS Enrollment IDI20230606001555
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
85 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49048 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

Social Worker
1521 GULL RD
KALAMAZOO, MI 49048
Occupational Therapist
1521 GULL RD
KALAMAZOO, MI 49048
Internal Medicine (Hospice and Palliative Medicine)
1521 GULL RD, SUITE 173
KALAMAZOO, MI 49048
Psychiatry & Neurology (Psychiatry)
1521 GULL RD
KALAMAZOO, MI 49048
Counselor (Professional)
1521 GULL RD
KALAMAZOO, MI 49048
Physician Assistant
1521 GULL RD
KALAMAZOO, MI 49048
Social Worker (Clinical)
1521 GULL RD
KALAMAZOO, MI 49048
Pharmacist
1521 GULL RD, INPATIENT PHARMACY
KALAMAZOO, MI 49048

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 Toni Skelton's NPI number?

The NPI number for Toni Skelton is 1730889247. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Toni Skelton located?

Toni Skelton practices at 1521 Gull Rd, Kalamazoo, MI 49048. The listed phone number is (269) 226-7000.

What is Toni Skelton's specialty?

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

Is Toni Skelton enrolled in Medicare?

Yes. Toni Skelton 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.

What insurance does Toni Skelton accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Toni Skelton 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 Toni Skelton was last updated on March 6, 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.