Healthcare Provider Details

I. General information

NPI: 1053237149
Provider Name (Legal Business Name): SKYLAR F BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N QUINCY ST STE 601
ARLINGTON VA
22203-1729
US

IV. Provider business mailing address

801 N QUINCY ST STE 601
ARLINGTON VA
22203-1729
US

V. Phone/Fax

Practice location:
  • Phone: 667-668-2566
  • Fax:
Mailing address:
  • Phone: 667-668-2566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0903004957
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: