Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Rick Wade Skidmore, LISW

Individual provider Clinical Social Worker · NPI 1396815049

Mr. Rick Wade Skidmore, LISW is a Clinical Social Worker in Toledo, Ohio. Qualified in 1995, 31 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
31
Licensed in
OH
In the registry since
2006
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

4651 N Summit St
Toledo, OH 43611-2814
Phone: (419) 407-5100
Fax: (419) 885-0203
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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 I - 0008486 (OH)

Record details

NPI number1396815049
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorYes
NPI enumeratedNovember 9, 2006
Last updated in NPPESFebruary 27, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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