Provider Demographics
NPI:1245832914
Name:SKOWRONSKI, SARAH LYNN (LMSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:SKOWRONSKI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LYNN
Other - Last Name:BOROWIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2405 DEEPWOODS DRIVE
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735
Mailing Address - Country:US
Mailing Address - Phone:989-614-0082
Mailing Address - Fax:
Practice Address - Street 1:100 W. FIRST STREET
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-1233
Practice Address - Country:US
Practice Address - Phone:989-614-0082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011083731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical