Provider Demographics
NPI:1407672959
Name:SKINNER, REBECCA (LCSW-C)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:SKINNER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S WASHINGTON ST APT 1306
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-4343
Mailing Address - Country:US
Mailing Address - Phone:410-200-5711
Mailing Address - Fax:
Practice Address - Street 1:28577 MARYS CT STE 5
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7499
Practice Address - Country:US
Practice Address - Phone:888-407-8018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical