Provider Demographics
NPI:1356613731
Name:SKIBIEL, TARA DAWNELL (LSW)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:DAWNELL
Last Name:SKIBIEL
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8350 FRANKSTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-1336
Mailing Address - Country:US
Mailing Address - Phone:412-342-0600
Mailing Address - Fax:412-342-0402
Practice Address - Street 1:8350 FRANKSTOWN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-1336
Practice Address - Country:US
Practice Address - Phone:412-342-0600
Practice Address - Fax:412-342-0402
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW129105104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker