Healthcare Provider Details

I. General information

NPI: 1508627852
Provider Name (Legal Business Name): ZOE SKOWRONSKI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2024
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 4TH ST N # 20995
ST PETERSBURG FL
33702-4305
US

IV. Provider business mailing address

7901 4TH ST N # 20995
ST PETERSBURG FL
33702-4305
US

V. Phone/Fax

Practice location:
  • Phone: 813-616-2846
  • Fax:
Mailing address:
  • Phone: 813-616-2846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number116996
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.029595
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW22535
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: