MARY E. SKIDMORE (LCSW) – Clinical Social Worker, NPI 1396743597

MARY E. SKIDMORE (LCSW) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 1488 (OK). The NPI Number for MARY E. SKIDMORE (LCSW) is 1396743597

Main info

Female
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
MARY E. SKIDMORE (LCSW)
NPI
1396743597
Phone
(405) 713-5876
Address
2201 LANEWAY CIR
Enumeration Date
12 July 2005
Last Update Date
28 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057135876
Graduation Year
1981 (45 years ago)
PAC ID
0840458196
Professional Enrollment ID
I20120216000341
Address ID
OK731197024OK2129XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

628 CLINICAL SOCIAL WORKER in OK

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Provider Addresses for MARY E. SKIDMORE (LCSW)

  • 2201, Laneway Circle, Oklahoma City, Oklahoma County, Oklahoma, 73159, United States

    OKLAHOMA CITY, OK 731595827

    Phone: (405) 713-5876

    Fax: (405) 713-5786

    Type: Mailing

  • Saint Anthony South, 2129, Southwest 59th Street, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States

    MYHRO CENTER

    OKLAHOMA CITY, OK 731197024

    Phone: (405) 713-5876

    Fax: (405) 713-5786

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120216000341IClinical Social WorkerOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73159)

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Reviews

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Frequently asked questions

Is MARY E. SKIDMORE (LCSW) listed with a National Provider Identifier?
Yes — MARY E. SKIDMORE (LCSW) has NPI 1396743597 on file in the registry.
Would MARY E. SKIDMORE (LCSW) appear as active to a payer?
You can treat MARY E. SKIDMORE (LCSW) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MARY E. SKIDMORE (LCSW)?
MARY E. SKIDMORE (LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is MARY E. SKIDMORE (LCSW) associated with Oklahoma City?
Public fields place MARY E. SKIDMORE (LCSW) around Oklahoma City, Oklahoma. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MARY E. SKIDMORE (LCSW) is noted as July 12, 2005 where the registry provides it.

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