Healthcare Provider Details

I. General information

NPI: 1780202127
Provider Name (Legal Business Name): ALLISON SKAPIK LMSW, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2020
Last Update Date: 07/05/2022
Certification Date: 07/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 SOUTH BROAD ST
NEW ORLEANS LA
70125
US

IV. Provider business mailing address

4150 EARHART BLVD
NEW ORLEANS LA
70125-1955
US

V. Phone/Fax

Practice location:
  • Phone: 504-821-9211
  • Fax:
Mailing address:
  • Phone: 504-821-7128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15239
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number15239
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: