Skidmore, Janadell
Skidmore, Janadell is an individual health care provider with primary practice located at 3456 E 17Th St Suite 190, Ammon ID 83406-6757. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Skidmore, Janadell can be contacted via phone (208) 552-9174.Contact Information
Primary practice address
3456 E 17Th St Suite 190
Ammon ID 83406-6757
Phone: (208) 552-9174
Fax: (208) 552-9175
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1160007 | Idaho |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | LCSW-37255 | Idaho |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | LMSW-27972 | Idaho |
Profile Details
NPI number | 1295935963 |
---|---|
LBN Legal business name | Skidmore, Janadell |
Credentials | LMSW, ICADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2007 |
Last updated | Jun 10th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295935963 | NPPES |
Idaho | Other | 1160007 | CADC |
Idaho | Other | LMSW-27972 | CADC |
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