Provider Demographics
NPI:1073765681
Name:SKARI, ALLISON MAE (LSW)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MAE
Last Name:SKARI
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:MAE
Other - Last Name:BELANUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:16351 I94
Mailing Address - Street 2:HOME ON THE RANGE
Mailing Address - City:SENTINEL BUTTE
Mailing Address - State:ND
Mailing Address - Zip Code:58654-9500
Mailing Address - Country:US
Mailing Address - Phone:701-872-3745
Mailing Address - Fax:701-872-3748
Practice Address - Street 1:16351 I94
Practice Address - Street 2:HOME ON THE RANGE
Practice Address - City:SENTINEL BUTTE
Practice Address - State:ND
Practice Address - Zip Code:58654-9500
Practice Address - Country:US
Practice Address - Phone:701-872-3745
Practice Address - Fax:701-872-3748
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4264104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND74110Medicaid