Provider Demographics
NPI:1659408334
Name:SKOVERA, MICHELE (MSW)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:SKOVERA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LINSEED RD
Mailing Address - Street 2:
Mailing Address - City:W HATFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01088-9505
Mailing Address - Country:US
Mailing Address - Phone:413-247-9390
Mailing Address - Fax:
Practice Address - Street 1:141 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-3638
Practice Address - Country:US
Practice Address - Phone:413-584-6855
Practice Address - Fax:413-585-1376
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1121261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical