Provider Demographics
NPI:1841672987
Name:SKIBA, KARYN (LMSW)
Entity type:Individual
Prefix:
First Name:KARYN
Middle Name:
Last Name:SKIBA
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 1:2633 S LAPEER RD STE G
Mailing Address - Street 2:
Mailing Address - City:ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-2810
Mailing Address - Country:US
Mailing Address - Phone:248-270-5660
Mailing Address - Fax:
Practice Address - Street 1:2633 S LAPEER RD STE G
Practice Address - Street 2:
Practice Address - City:ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-2810
Practice Address - Country:US
Practice Address - Phone:248-270-5660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-25
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801093680104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker