MR. TERRANCE JOSEPH SKIDMORE LCSW
NPI 1851697635
Social Worker - Clinical in Gulfport, MS

Q: What is Terrance Skidmore's NPI number?

The NPI number for Terrance Skidmore is 1851697635. It was assigned to this individual provider in the NPPES registry on January 27, 2011.

Q: What is Terrance Skidmore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Terrance Skidmore was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 27, 2011PECOS EnrolledAccepts Medicare Assignment

1600 BROAD AVE, GULFPORT, MS 39501(228) 865-1330 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Terrance Joseph Skidmore Lcsw NPPES

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

MR. TERRANCE JOSEPH SKIDMORE LCSW (NPI 1851697635) is an individual clinical provider in Gulfport, Mississippi, licensed in Mississippi (C8764) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Geismar, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1851697635

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. TERRANCE JOSEPH SKIDMORECredential: LCSW

Location Address1600 BROAD AVEGulfport, MS 39501-3603

Mailing Address37161 Audubon Park AveGeismar, LA 70734-3265 · (337) 853-2292 · Fax (225) 313-3563

Phone(228) 865-1330

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateJanuary 27, 2011

Last NPPES UpdateSeptember 18, 2020

NPPES CertifiedSeptember 18, 2020

✔ NPI 1851697635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in MS · C8764✔ Licensed in LA · 8842

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.

1600 BROAD AVE, Gulfport, MS 39501

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Secondary Practice Location 1

Location 137161 Audubon Ave.Geismar, LA 70734 · Phone (337) 853-2292 · Fax (225) 313-3563

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

Mr. Terrance Joseph Skidmore Lcsw 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 ID2769801844

PECOS Enrollment IDI20200924000005

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 2

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, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

400 services69 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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 $51.65 – $159.18

Typical copayment $0.00 (range $12.91 – $39.79)

Most-billed visit code NA

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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.

JUNE BOUDREAUX CPSS

Peer Specialist