Provider Demographics
NPI:1346921921
Name:GUERNSEY, SKYLAR (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:SKYLAR
Middle Name:
Last Name:GUERNSEY
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6943 S COUNTY ROAD 1025 E
Mailing Address - Street 2:
Mailing Address - City:CROTHERSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47229-9733
Mailing Address - Country:US
Mailing Address - Phone:812-267-2948
Mailing Address - Fax:
Practice Address - Street 1:14312 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:IN
Practice Address - Zip Code:47143-9289
Practice Address - Country:US
Practice Address - Phone:812-913-9630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33011525A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker