Provider Demographics
NPI:1619567633
Name:SKEES, JENNIFER (JEN) RENEE (LCSWA)
Entity Type:Individual
Prefix:
First Name:JENNIFER (JEN)
Middle Name:RENEE
Last Name:SKEES
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 ARNETTE AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3114
Mailing Address - Country:US
Mailing Address - Phone:859-229-4533
Mailing Address - Fax:
Practice Address - Street 1:618 ARNETTE AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3114
Practice Address - Country:US
Practice Address - Phone:859-229-4533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-23
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0153901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical