| Kelli Skaggs Lcsw Llc | |
|
4837 Swift Rd Ste 110-9 Sarasota FL 34231-5182 | |
| (614) 500-3889 | |
| Not Available |
| Full Name | Kelli Skaggs Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4837 Swift Rd Ste 110-9, Sarasota, Florida |
| Authorized Official Name and Position | Kelli Skaggs (OWER) |
| Authorized Official Contact | 6145003889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Skaggs Lcsw Llc 4837 Swift Rd Ste 110-9 Sarasota FL 34231-5182 Ph: (614) 500-3889 | Kelli Skaggs Lcsw Llc 4837 Swift Rd Ste 110-9 Sarasota FL 34231-5182 Ph: (614) 500-3889 |
| NPI Number | 1043033327 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Medicare PECOS PAC ID | 5193253722 |
|---|---|
| Medicare Enrollment ID | O20250110001202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043033327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelli Linn Skaggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831732429 PECOS PAC ID: 8426465766 Enrollment ID: I20210401001860 |
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