MR. MICKEY SKIDMORE ACSW, LCSW
NPI 1811982010
Social Worker - Clinical in Hickory, NC

Active since September 13, 2005
926 2ND ST NE, SUITE #306, HICKORY, NC 28601(828) 302-3434 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Mickey Skidmore Acsw, Lcsw NPPES

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

MR. MICKEY SKIDMORE ACSW, LCSW (NPI 1811982010) is an individual clinical provider in Hickory, North Carolina, licensed in North Carolina (C000177) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1811982010
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICKEY SKIDMORECredential: ACSW, LCSW
Location Address926 2ND ST NE, SUITE #306Hickory, NC 28601-3869
Mailing Address188 39th Avenue Ct NwHickory, NC 28601-9065 · (828) 302-3434
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJuly 9, 2007
NPI 1811982010 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 NC · C000177
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.
926 2ND ST NE, Hickory, NC 28601

Other Identifiers 6

Other2091760NC · Cigna Provider #
Other3221NC · Cbha Provider #
Other76734NC · Bcbs Provider #
Medicare ID-Type Unspecified2874218ANC · Cigna Medicare Provider #
OtherC4769NC · Medcost Provider #
Medicaid6002624NC

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
926 2ND ST NE, SUITE 306
HICKORY, NC 28601
Marriage & Family Therapist
926 2ND ST NE, SUITE 103
HICKORY, NC 28601

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 Mickey Skidmore's NPI number?

The NPI number for Mickey Skidmore is 1811982010. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Mickey Skidmore located?

Mickey Skidmore practices at 926 2nd St NE Suite #306, Hickory, NC 28601. The listed phone number is (828) 302-3434.

What is Mickey Skidmore's specialty?

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

When was this NPI record last updated?

The NPPES record for Mickey Skidmore was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.