Provider Demographics
NPI:1124524590
Name:HANKINS, SKYE FITZGERALD (LCSW)
Entity type:Individual
Prefix:
First Name:SKYE
Middle Name:FITZGERALD
Last Name:HANKINS
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 1:4219 BATTLE FIELD DR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-7125
Mailing Address - Country:US
Mailing Address - Phone:984-269-8162
Mailing Address - Fax:
Practice Address - Street 1:4219 BATTLE FIELD DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7125
Practice Address - Country:US
Practice Address - Phone:984-269-8162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2022-12-20
Deactivation Date:2021-02-09
Deactivation Code:
Reactivation Date:2022-12-20
Provider Licenses
StateLicense IDTaxonomies
NCC0112071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical