Provider Demographics
NPI:1508376609
Name:SKINNER, ASHLEY (LIMHP, LCSW)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:SKINNER
Suffix:
Gender:F
Credentials:LIMHP, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 184
Mailing Address - Street 2:
Mailing Address - City:MERRIMAN
Mailing Address - State:NE
Mailing Address - Zip Code:69218-0184
Mailing Address - Country:US
Mailing Address - Phone:308-207-2300
Mailing Address - Fax:
Practice Address - Street 1:32518 W PIONEER SCHOOL RD
Practice Address - Street 2:
Practice Address - City:MERRIMAN
Practice Address - State:NE
Practice Address - Zip Code:69218-6563
Practice Address - Country:US
Practice Address - Phone:605-646-3786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE18431041C0700X
CA802661041C0700X
CO099259691041C0700X
SD50421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical