Provider Demographics
NPI:1710877758
Name:SKEETERS, SARA MICHELLE (BSW, MSW, ASW)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:MICHELLE
Last Name:SKEETERS
Suffix:
Gender:F
Credentials:BSW, MSW, ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 SPRINGFIELD DR STE 175
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-5398
Mailing Address - Country:US
Mailing Address - Phone:530-781-1440
Mailing Address - Fax:
Practice Address - Street 1:1515 SPRINGFIELD DR STE 175
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5398
Practice Address - Country:US
Practice Address - Phone:530-781-1440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1311161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical