Individual
JANE SKOLNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
949 BRIDGEPORT AVE, MILFORD, CT 06460
(203) 878-6365
Mailing address
949 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 878-6365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004049
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000212554
UNITED BEHAVIORAL HEALTH
CT
05
—
004039244
—
CT
01
—
140004049CT02
ANTHEM PROVIDER NUMBER
CT
01
—
191103
MANAGED HEALTH NETWORK
CT
Enumeration date
09/20/2006
Last updated
08/04/2022
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