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General NPI Number Information
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NPI Number | 1356358634
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Entity Type | Individual
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Provider Name | ROBIN MICHAEL SKALSKY LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2130 STOCKTON BLVD SUITE 100
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City | SACRAMENTO
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State | CA
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Zip | 95817
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Country | US
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Telephone | 916-456-5485
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Fax |
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Provider Business Mailing Address
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Address Line | 1716 SUTTERVILLE RD.
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City | SACRAMENTO
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State | CA
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Zip | 95822
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Country | US
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Telephone | 916-397-1565
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 21202
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 21202
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License Number State | CA
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