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

Mr. Terrance Joseph Skidmore, LCSW

Individual provider Clinical Social Worker · NPI 1851697635

Mr. Terrance Joseph Skidmore, LCSW is a Clinical Social Worker in Gulfport, Mississippi. Qualified in 2004, 22 years ago. Practices with Medical Systems Management, LLC, a 49-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
22
Licensed in
LA, MS
In the registry since
2011
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1600 Broad Ave
Gulfport, MS 39501-3603
Phone: (228) 865-1330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 37161 Audubon Ave., Geismar, LA 70734 — (337) 853-2292

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C8764 (MS)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8842 (LA)

Record details

NPI number1851697635
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 27, 2011
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Medical Systems Management, Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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