Provider Demographics
NPI:1538774120
Name:SKOREK, BRITTANY JOAN (LMSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:JOAN
Last Name:SKOREK
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 1:7 COLONY CT
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:IL
Mailing Address - Zip Code:61036-8691
Mailing Address - Country:US
Mailing Address - Phone:773-960-0585
Mailing Address - Fax:
Practice Address - Street 1:119 S MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:MAQUOKETA
Practice Address - State:IA
Practice Address - Zip Code:52060-3000
Practice Address - Country:US
Practice Address - Phone:563-748-1299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101891104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker