Provider Demographics
NPI:1972180842
Name:SKALKA, LILLIE ALON (LCSW)
Entity Type:Individual
Prefix:
First Name:LILLIE
Middle Name:ALON
Last Name:SKALKA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9071 MILL CREEK RD APT 2917
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19054-4238
Mailing Address - Country:US
Mailing Address - Phone:267-566-7515
Mailing Address - Fax:
Practice Address - Street 1:9071 MILL CREEK RD APT 2917
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19054-4238
Practice Address - Country:US
Practice Address - Phone:267-306-1926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-26
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136812104100000X
PACW024263104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker