Individual
MISS DONNA M SKORUPSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1818 WENT AVE STE A, MISHAWAKA, IN 46545-6482
(574) 254-0229
(574) 254-0188
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005089A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365162
UNICARE
IN
01
—
2328863
CIGNA
IN
01
—
593552000
MAGELLAN
IN
01
—
PVPB106032
AMERICAN PSYCH SYSTEMS
IN
Enumeration date
10/13/2005
Last updated
07/21/2022
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