Provider Demographics
NPI:1780425108
Name:SKEVIS, KARA M (MSW, LSW)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:M
Last Name:SKEVIS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7323 SANDY COVE WAY APT 1014
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-2233
Mailing Address - Country:US
Mailing Address - Phone:815-546-3585
Mailing Address - Fax:
Practice Address - Street 1:8130 S MERIDIAN ST STE 4A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46217-4960
Practice Address - Country:US
Practice Address - Phone:317-889-0635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99124733A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical