Individual provider · Type 1 NPI

Breanne Nickole Skidmore, LSW

Clinical Social Worker · Columbus, OH

NPI number 1104181395 Active

Practice location

1490 E Main St
Columbus, OH 43205-2140

Mailing address

1511 Runaway Bay Dr, Apt. 1B
Columbus, OH 43204-4811

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS 1100875 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104181395

Breanne Nickole Skidmore, LSW's National Provider Identifier is 1104181395, issued on Jul 12, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Jul 12, 2012.