Provider Demographics
NPI:1710355730
Name:WINDER, SKILAR (LMSW)
Entity Type:Individual
Prefix:
First Name:SKILAR
Middle Name:
Last Name:WINDER
Suffix:
Gender:F
Credentials:LMSW
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 151
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:KS
Mailing Address - Zip Code:67420-0151
Mailing Address - Country:US
Mailing Address - Phone:785-569-0202
Mailing Address - Fax:785-569-9202
Practice Address - Street 1:112 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:KS
Practice Address - Zip Code:67420-2755
Practice Address - Country:US
Practice Address - Phone:785-569-0202
Practice Address - Fax:785-569-9202
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-08
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9415104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201118870AMedicaid