Provider Demographics
NPI:1649079542
Name:SKOLNICK, SARAH (CMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SKOLNICK
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12785 IVY ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-4672
Mailing Address - Country:US
Mailing Address - Phone:303-810-9219
Mailing Address - Fax:
Practice Address - Street 1:1008 DEPOT HILL RD STE 200
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-6724
Practice Address - Country:US
Practice Address - Phone:720-634-6113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0020562101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional