Connor Skeen
NPI 1689283822ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Cliffwood, NJ
Counselor, Addiction (Substance Use Disorder) with Lifebulb LLC, practicing in Cliffwood, New Jersey. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1689283822 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 23, 2020 |
| Last updated in NPPES | Apr 24, 2024 |
| Certified by provider | Apr 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | — | NJ |
| Case Manager/Care Coordinator | 171M00000X | 44SC06308600 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NJ) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Lifebulb LLCToms River, NJ · 103 clinicians
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