NPI Code Details Logo

NPI 1497653042

NPI 1497653042 : SKYLAR KEMP-COLLON LCSW : JASPER, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1497653042
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SKYLAR KEMP-COLLON LCSW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/26/2026
-----------------------------------------------------
    Last Update Date     |    10/26/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    721 W 13TH ST 
-----------------------------------------------------
    City                 |    JASPER
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47546-1855
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-996-5780
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 632111 
-----------------------------------------------------
    City                 |    CINCINNATI
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45263-2111
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    33011907A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.