Mr Terrance Joseph Skidmore, LCSW | |
1600 Broad Ave, Gulfport, MS 39501-3603 | |
(228) 865-1330 | |
Not Available |
Full Name | Mr Terrance Joseph Skidmore |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 21 Years |
Location | 1600 Broad Ave, Gulfport, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851697635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8842 (Louisiana) | Secondary |
1041C0700X | Social Worker - Clinical | C8764 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Behavioral Consultant Solutions, Llc | 1951777572 | 7 |
Medical Systems Management, Llc | 5092964643 | 32 |
Entity Name | Medical Systems Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740555267 PECOS PAC ID: 5092964643 Enrollment ID: O20131024001113 |
Entity Name | Behavioral Consultant Solutions, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275282311 PECOS PAC ID: 1951777572 Enrollment ID: O20221021001154 |
Mailing Address | Practice Location Address |
---|---|
Mr Terrance Joseph Skidmore, LCSW 37161 Audubon Park Ave, Geismar, LA 70734-3265 Ph: (337) 853-2292 | Mr Terrance Joseph Skidmore, LCSW 1600 Broad Ave, Gulfport, MS 39501-3603 Ph: (228) 865-1330 |
Dr. Shelia Rivers, DSW, LCSW, MPH Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 417 Security Sq, Gulfport, MS 39507 Phone: 707-728-5131 | |
Mrs. Mona Marie Holloway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 29th Ave Ste 36, Gulfport, MS 39501 Phone: 228-591-1442 | |
Ms. Susan Elizabeth Pyles, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11070 David St, Gulfport, MS 39503 Phone: 228-990-5217 Fax: 228-594-9155 | |
Miss Juliet Liuzza, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 North St, Gulfport, MS 39507 Phone: 228-219-5995 | |
Mrs. Jocelyn Gavin-lane, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10585 Three Rivers Rd, Suite C, Gulfport, MS 39503 Phone: 228-604-0099 Fax: 228-604-2001 | |
Dr. Lauren Suzanne Zakaras, LCSW, DBH Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15465 Oak Ln, Ste. D, Gulfport, MS 39503 Phone: 765-720-3730 | |
Shannon Deirdre Bradley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5502 Marvin Shields Blvd, Gulfport, MS 39501 Phone: 228-822-5710 |