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NPI Code Detail

MEDICARE: PHILIP T SKLAW LCSW, BCBA

MEDICARE: PHILIP T SKLAW LCSW, BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker076163NY
21041C0700XClinical Social Worker080493NY
3103K00000XBehavior Analyst1-21-53068FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871819060
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP T SKLAW LCSW, BCBA
Provider Business Mailing Address
First Line : 5743 YORKSHIRE LN
Second Line :
City : PALM HARBOR
State : FL
Zip : 34685-3141
Country : US
Telephone Number : 516-551-5443
Fax Number :
Provider Business Practice Location Address
First Line : 8001 BEATY GROVE DR
Second Line :
City : TAMPA
State : FL
Zip : 33626-1602
Country : US
Telephone Number : 813-926-5454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2010
Last Update Date : 03/14/2025

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Directions to “ PHILIP T SKLAW LCSW, BCBA” Practice Location

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