Provider Demographics
NPI:1225175144
Name:SKINNER, FAITH E (LCSW)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:E
Last Name:SKINNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 GUEST ST
Mailing Address - Street 2:
Mailing Address - City:CARNEYS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08069-1025
Mailing Address - Country:US
Mailing Address - Phone:856-351-1995
Mailing Address - Fax:
Practice Address - Street 1:718 E LANDIS AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8011
Practice Address - Country:US
Practice Address - Phone:856-690-8940
Practice Address - Fax:856-690-8980
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051738001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical