Individual
MISS DONNA M SKORUPSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
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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