Healthcare Provider Details

I. General information

NPI: 1952832917
Provider Name (Legal Business Name): JULIE SKELTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 E FLORENCE BLVD STE 101
CASA GRANDE AZ
85122-5334
US

IV. Provider business mailing address

1515 E FLORENCE BLVD STE 101
CASA GRANDE AZ
85122-5334
US

V. Phone/Fax

Practice location:
  • Phone: 602-935-6299
  • Fax: 480-452-0277
Mailing address:
  • Phone: 602-935-6299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-21092
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC-09161
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: