Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mitchell Alexander Skidmore, LSCSW

Individual provider Clinical Social Worker · NPI 1407511520

Mr. Mitchell Alexander Skidmore, LSCSW is a Clinical Social Worker in Topeka, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3649 SW Burlingame Rd Ste 100
Topeka, KS 66611-2155
Phone: (785) 205-6588
Fax: (785) 266-4533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 06100 (KS)
Social Worker Taxonomy 104100000X · Licence 11421 (KS)

Record details

NPI number1407511520
Entity typeIndividual (Type 1)
GenderMale
Credentials LSCSW
Sole proprietorYes
NPI enumeratedNovember 3, 2021
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

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